Tracey
I am sorry that you have this condition and have to make this difficult
decision. Reading Hale, it seems that bromocriptine is a drug w/ many side
effects FOR THE MOM. However, it says 6% remains in maternal plasma and it
reports on one mom who took it during lactation w/ no untoward effects in
the infant. It seems that if you are hyperprolactinemic and take the med,
you may still have enough milk for the baby. The small amt in the plasma may
be ok for the baby. This you would have to discuss w/ the docs and
pharmacist. The bigger concern seems to be not the overproduction of
prolactin but the effects on you optic nerve/vision. You should be able to
get an idea of the progression of this type of thing, based on your
situation and what you could likely expect. Maybe more frequent monitoring
(monthly? biweekly?) would allow you to continue bf for as long as possible
with very careful watchful waiting and intervention when it is needed. I
will hope that the regression is what happens and all will be ok.

Laurie Wheeler, RN, MN, IBCLC
Violet Louisiana, s.e. USA

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