One thing I do not understand about Domperidone is that it appears to  
be prohibited as a galactogogue (despite its lack of side-effects)  
because this it was not designed for this purpose. Yet, cytotec (which  
has been demonstrated to be associated with uterine rupture in VBACs)  
continues to be widely used to induce labor even though it too was not  
designed to be used to induce labor. It is as though whatever will  
benefit women is prohibited whereas whatever benefits doctors can get  
away with unthinkable abuse.

Nicole Bernshaw



Begin forwarded message:

> Date:    Thu, 23 Oct 2008 21:38:54 -0400
> From:    [log in to unmask]
> Subject: Domperidone
>
> Despite being a better, safer drug and prescribing it for 10 years  
> via a local compounding pharmacy, my medical group "found out about  
> it" and are forbidding me from prescribing it ever again - based on  
> a lawyer's review.?1. The FDA still maintains it is illegal to  
> prescribe or compound it.? 2. The Medical Board of California  
> agrees, despite the fact that adult gastroenterologists are OK to  
> use it -?apparently they protested loudly enough after the June 2004  
> FDA alert that the FDA cut them some sort of deal and 3. My  
> malpractice insurer will not cover me (or my group) if I prescribe  
> it.? I have to present rebuttal to the group's Board of Directors -  
> but I doubt I will change any minds.?
>
>
> Nancy E. Wight MD, IBCLC, FABM, FAAP
> Attending Neonatologist,
> Children's Hospital & Health Center, and
> Sharp Mary Birch Hospital for Women
> Medical Director, Sharp HealthCare Lactation Services


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