AAP says associated with significant side effects and should be given with
caution.
Hale says L5 because of milk suppression. Observe for transient hypotension
or vomiting. It is sometimes used for hyperprolactinemic patients who
continue to breastfeed akthough the incidence of maternal side-effects is
significant and newer products are preferred. In one breastfeeding patient
who received 5 mg/day for a pituitary tumor, continued lactation produced no
untoward effects in her infant.
Caution is recommended as profound postpartum hypotension has been reported.
[not sure of significance 8 mo after immediate postpartum:-(] While
bromocriptine is no longer recommended for suppression of lactation [since
late 1980's!] a newer product cabergoline (Dostinex) is considered much
safer for suppression of prolactin production.
Cabergoline is L4. with no studies as it completely and irreveribly suppress
lactation.
Now with all that said - why does this mom have to stop instantly? Why not
a slower way of replacing one feeding every day or two, to allow her supply
to
dwindle naturally over 7-10 days?
Pat in SNJ, who made the mistake of stopping instantly once in my lifetime.
It was distinctly unpleasant, who knew where my 22 year old mind thought all
that milk was going to go! No LLL in our area back in those prehistoric
times :-)
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
Mail all commands to [log in to unmask]
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or [log in to unmask])
To unsubscribe: unsubscribe lactnet or ([log in to unmask])
To reach list owners: [log in to unmask]