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 :-)

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