The Academy of Breastfeeding Medicine Protocol 9 talks about the use of 
galactatgogues (spelling? sorry) to augment maternal milk supply.  It 
does discuss many different herbal and prescription medications 
including their side effects and dosage.  It does state domperidone is 
not FDA approved in the US, but also gives more information on it also. 
I give this handout to mothers at times who have low milk supply 
(usually pumping for a preemie) and review the different things in the 
protocol.  Because Domperidone is on there I do discuss it but tell them 
I am unable to give them information on how to get it - I do tell them 
that if they take it they need to discuss it with the physician taking 
care of the baby... I am at a loss as to what to do because for many of 
these mothers we have done everything else... and they can't take Reglan 
due to a history of depression and some OBs won't write for Reglan out 
here... and doesn't Reglan have a black box warning now?  It doesn't 
make any sense to me why Domperidone isn't FDA approved here yet Reglan 
is with so many more side effects.  Do any other LCs discuss Domperidone 
- I was taught I could talk about it but not give resources for it.

Andrea RN IBCLC

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