Hi Kristen,
There are a few physicians in our area that are still comfortable following Dr Jack’s recommendations, though many physicians will start at 10 mg 3 or 4 times a day. Some are willing to titrate up if that dose is ineffective, others will either refer to another physician, or leave it at that dose. We also have a few that want a baseline ECG prior to either starting or increasing. I usually inform them that often 30-40 mg per day is not very effective, and that many women need to take 90mg per day, however, we have had some success with lower doses of 40-60 mg per day. Starting low does take longer to get where we need to go, but does allow to see how the mother tolerates the medication.

Hope this helps.
Heather Neville
RN IBCLC

________________________________
From: Lactation Information and Discussion <[log in to unmask]> on behalf of Kristen Bell <[log in to unmask]>
Sent: Wednesday, September 15, 2021 12:51:11 AM
To: [log in to unmask] <[log in to unmask]>
Subject: Domperidone

Hi Everyone

Just curious what you are suggesting to doctors re prescribing domperidone.
Jack Newman suggests high dosages but the rest of the information and research I read is recommending starting at 10 mg TID
Just want to make sure I am suggesting appropriate dosages for patient.

Kristen

Kristen Bell. RN IBCLC
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