In my experience, the moms I help don't have any problem getting a Reglan 
prescription from their doctors, especially compared with obtaining 
Domperidone.  Some moms who take the medication have experienced extreme 
fatigue, and depression is a concern if taken long-term (longer than a few 
months).  Since Reglan is designed to improve intestinal motility, a 
couple of moms I've helped have had debilitating diarrhea from the drug.

Since the mom you're helping has been breastfeeding for 3m already, I 
don't know if increasing her prolactin levels will help her at this 
point.  Linda J. Smith pointed out that a mom can have extremely high 
prolactin levels and still not make enough milk IF her prolactin receptors 
weren't employed during the first few weeks of breastfeeding.  If her 
blood tests come back saying she's low in prolactin, Reglan might help, 
but not if it's from lack of stimulation at the inception of breastfeeding.

Anyone else have an opinion on that?

Debbie Gillespie, IBCLC, LLLL
Tempe, AZ

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html