My experience with this drug and premie moms is that the drug is notably NON helpful unless combined with frequent regular pumping if the baby is not yet on breast. If the baby is on breast, frequent regular breastfeeding (or some combination of pumping and feeding) is essential. If used without this or whenver the mother remembers to pump, it will NOT work. Since it is expensive and cannot be used for a long period due to side effects (clinical depression being one of them), it is wise to tell mother that this drug--and all others--are not a panacea for regular effective stimulation of the breasts. Def. of LC service: "We are all faced with a series of great opportunities brilliantly disguised as impossible situations." Kathleen G. Auerbach,PhD, IBCLC (Homewood, IL)- [log in to unmask]