Is domperidone really a magic breastfeeding pill? — WorldBreastfeedingWeek
in the dark of night—to wish for a magic pill to make the whole thing easier. It wasn’t until my second baby was born that I learned said pill does actually exist. It’s available by prescription, and its generic name is domperidone.
After I got my prescription, it took just a couple of days to notice a bump in my supply. With each pill, I felt a bit like Alice in Wonderland nibbling the “eat me” cake, as if I were fuelling a kind of milk-making magic that was transforming my breasts from a pair of unreliable appliances to a set of fulsome, infallible machines that would crank out the required yield. It was the slightest annoyance to take three pills per day.
If, after all that, supply still seems low—and Newman says low supply is very common—he might prescribe domperidone. While some doctors advocate for blood testing to measure prolactin levels before prescribing, Newman says the test can be problematic . Most mothers notice a boost in supply as soon as a couple of days after starting the drug, but for others, it may take a week to 10 days.
Meanwhile, in the US, the FDA has issued several warnings on the dangers of domperidone use, including a public safety alert cautioning patients about illegally importing the drug as a breastfeeding aid. A recent article written by FDA authors in theflagged the “limited quality evidence for the effectiveness of domperidone for lactation enhancement.” The warnings included cautions about dangerous heart-related side effects.
Ultimately, it’s a mother’s choice whether or not to take the drug. “I say, ‘It’s up to you, but I advise you to take the domperidone,’” says Newman.For Kara Jansen, a Vancouver-based physician and international board-certified lactation consultant, Health Canada’s warnings caused her to question whether prescribing domperidone had become too much of a crutch. “In medical school, we used it a lot, and most of the time it was because we didn’t really know what else to do,” she says.
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