Hear, hear. Or telling someone a different way to latch or hold their
baby or use their pump - or even TO use a pump or NOT to use a pump.
And don't you think we need to take down the nurse-triage lines? Let's
get rid of all over the counter drugs. And how about commercials? And
mother-in-laws! (I can say that because I are one!) Hey, I'm getting
silly here. But is there ANY totally safe drug? How about vitamins?
Too many of those can kill you too.
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of [log in to unmask]
Sent: Tuesday, April 10, 2007 12:08 PM
Subject: Domperidone, round umpty umpty
Diana writes:
<<The FDA is apparently cracking down pretty hard on it, and= =20
considers it a potentially dangerous drug (and in my medical opinion,
it=20=
shouldn't be suggested to anyone lightly). Compounding pharmacies
have=20=
received serious warnings against distributing it. >>
Has anyone considered there may be a political reason for it? Why are
they
considering domperidone a "dangerous drug" and not Viagra? Did you
know
that if you take more than the recommended dose of tylenol that you can
cause liver damage -- go into renal failure -- die? Why isn't tylenol
on the list of
"dangerous" drugs? Why domperidone which has fewer side effects than
aspirin?
As far as anyone knows, there have been two (count 'em -- TWO) deaths
from domperidone. Both involving the IV formulation of the drug.
Which was last formulated/used/prescribed in 1984.
Because the drug is unavailable in the US without a prescription from a
physician, the RN recommending use of domperidone to the physician is
making a suggestion -- not prescribing. It is up to the doc to write
the prescription.
Go read the compounding pharmacy website -- one of the reasons for
their existence is to compound drugs needed by physicians that are (a)
not approved by the FDA so not available in the US of A, or (b)
compounding them for off label use.
As far as "prescribing" fenugreek, More Milk Plus, ibuprophen, cabbage,
watermelon, oatmeal, CST, chiropractic therapy, aromatherapy, massages,
or a daily nap -- well, that is a matter of opinion as to whether or
not the IBCLC should be doing it. In some opinions, no. In others,
yes.
Funny that no one finds "prescribing" the use of formula to be an
issue.
An "opinion" is just that. An "opinion." And yours, mine, and ours
are just as good as anyone else's.
Jan Barger, RN, MA, IBCLC
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