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By Dr. Kara Jansen on February 18, Kara Jansen biography and disclosures.

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By Jessica Leeder Jan 8, Photo: Roberto Caruso, watercolour: Claire Roskey. Prescribed to me by my midwife at the low dose of 10 milligrams three times per day, this glorious little white pill promised to take the edge off a worry that gnawed at me around the clock until my mind, too, felt raw: Was I making enough milk to satiate my baby boy?

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This information sometimes differs from that provided by the manufacturers, because their information is usually aimed at patients taking domperidone for another reason. Please read this information carefully and keep it somewhere safe so that you can read it again. There is very limited transfer of domperidone to babies whose mothers are taking this medicine to increase breast milk supply and no published information to suggest it causes cardiac effects in babies.

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NCBI Bookshelf. Domperidone is not approved for marketing in the United States by the U. Domperidone may also be available from some compounding pharmacies in the US. The quality of such products cannot be assured, and the FDA has warned against their use.

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When domperidone was being used for babies and now that cisapride is off the market, it is being used againit was common for the babies to be on the medication for several months. Our experience with this drug is that short-term side effects are very few and almost always very mild. Worldwide experience with domperidone over at least two decades suggests that long-term side effects also are rare.

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There are several prescription drugs that have been used to increase milk supply: Metoclopramide ReglanDomperidone Motiliumand sulpiride Eglonyl, Dolmatil, Sulpitil, Sulparex, Equemote. The presence of an appropriate level of the hormone prolactin permits lactation to proceed normally. When a mother has low prolactin levels, milk supply may be affected.

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Most mothers produce enough milk for their babies. Your milk supply is considered low when there is not enough breast milk being produced to meet your baby's growth needs. Many mothers worry about their milk supply, especially in the early stages of breastfeeding.

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Domperidone is not currently a legally marketed human drug and it is not approved for sale in the U. On June 7,FDA issued a public warning that distributing any domperidone-containing products is illegal. FDA also issued an Import Alert instructing FDA field personnel to detain shipments of finished drug products and bulk ingredients containing domperidone, and refuse admission into the US. FDA took this action because of the concern about the potential serious health risks associated with the use of domperidone by lactating women to enhance breast milk production.

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The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment. Republish our articles for free, online or in print, under Creative Commons licence. For women who suspect they have low breast milk supply, the first thing to do is get some breastfeeding support.

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The drug domperidone increases the amount of breast milk women produce. This review looked at its use for up to two weeks in women with premature babies being fed with expressed milk. Women had a moderate increase in breast milk of about 88ml a day, a clinically important increase for these small babies. Domperidone is an anti-sickness medication.

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