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Breastfeeding Drug
Breastfeeding Drug Domperidone
A recent report from the Food and Drug Administration cautions breastfeeding
women to avoid a drug called domperidone which may increase the secretion of
prolactin in breastfeeding women. Prolactin is responsible for milk production.
The more prolactin a woman has available the more milk she is likely to produce.
However, domperidone is not approved by the FDA for use in lactating women.
There are numerous reports that have linked use of the drug with cardiac
arrhythmias, cardiac arrest and even sudden death.
There are more than 2000 reports available of the adverse effects related to use
of this drug, and it has in fact been withdrawn from a number of countries.
Several nations have approved the use of domperidone for gastric disorders,
however it has not been approved for enhancing breast milk production.
The recent alert by the FDA came about as discoveries revealed that women who
are breastfeeding or pumping were purchasing the drug from US pharmacies that
prepare it from alternate sources.
There are in fact a number of internet sites that provide women with resources
for ordering domperidone online. A majority of these do not detail the risks
associated with the drugs use during lactation.
There are great health benefits that breast milk provides for a nursing infant.
The recommendation by the FDA to breastfeeding women, to not use the drug under
any circumstances, is not to discourage women from breastfeeding but rather to
warn them against potential harm.
Encouraging Lactation Naturally
If you are having trouble maintaining your supply be sure to consult with your
health care provider. There are a number of things you can do to stimulate milk
production naturally.
First and foremost, pumping more regularly and increasing the number of feeds
your baby has may work in and of itself to increase milk production.
Eating a well balanced diet and continuing a pre-natal or multivitamin during
breastfeeding will also ensure an adequate milk supply.
Fatigue is common among most new moms, but may also contribute to diminished or
diminishing milk supplies. Be sure that you take every opportunity to rest when
your newborn rests in order to ensure that your milk supply is not affected.
You should also work to minimize your stress level when possible. An illness
may temporarily sideline your milk production, but such temporary effects
usually resolve themselves in a day or so.
There are some natural supplements that might also help enhance your milk
supply. One is fenugreek, which is considered an herbal galactagogue.
Before taking any type of natural or herbal supplement, you should always
consult with your health care provider to rule out any other causes for a
diminished supply and to ensure the efficacy and safety of the treatment
modality selected.
Remember that even natural or herbal supplements may interfere with other
medications you may be taking, or may have adverse effects or other risks
associated with use.
By consulting with your health care provider you should be able to come up with
a relatively safe and sound strategy for ensuring an adequate milk supply for
your newborn.
That said some women will not be able to breastfeed for one or more reasons, and
some will choose not to. The decision to breast feed your infant or bottle
feed your baby should be yours to make exclusively.
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