Well, here's an update from this Lact-netter.
Domperidone is available over the counter in my country and no
prescription is required. Unlike Reglan, it has no association with
causing depression.
It's also available, perfectly legally, in the USA, and can be made up
in a compounding pharmacy upon prescription. I even have personal
knowledge of a mother who has her script and compounding, paid for, in
the USA, by her insurance cover. She uses it for increasing her milk
production and it is under this usage her insurance company pays for
it. It also pays for her pump. I also know many mothers in the USA who
buy it in bulk, from the UK, and have it shipped over.
As has been said many times in this forum, many of us outside the USA,
can't fathom for one second, the extremely strange attitude to
domperidone, displayed by some USA authorities. It's a widely
available, and widely used drug, with a long and well researched history.
I even know of one mother, in Ireland, who is having it prescribed by
her GP, for milk production as she is EPing. Given that's a script for
off-usage, that's quite a testament, given how UK and Irish medical
services view off usage prescriptions.
And when I was on it for original use, gastric reflux, I had to stop
taking it.
It made me lactate. :-)
Morgan Gallagher
laurie wheeler wrote:
> Hi lactnetters,
> Ann Marie generously shared what strategies worked for her to increase her
> milk supply from 8 to 32 oz while EP'ing for her child.
> One of those strategies was domperidone use.
> Our doctors prescribe reglan (metoclopramide) only. I have the feeling that
> none of them would be willing to prescribe domperidone, due to
> the still controversial aspects of the prescribing and use of this drug in
> lactation in the USA. I know there was a doctor on lactnet who was
> sanctioned in some
> way and reported to us the trouble she experienced. Before I would consider
> bringing this up as an alternative to reglan, I wanted to get any updates
> from lactnetters on domperidone prescribing and use.
>
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