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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