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Lactation Information and Discussion

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Subject:
From:
Pamela Morrison IBCLC <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 22 Apr 1998 00:57:45 +0200
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Annelies wrote, "chlorpromazine, is this reglan or domperidone?"

Chlorpromazine is the generic name for Largactil or Amazin;  Reglan is the
brand name for metoclopramide; domperidone is the generic name for Motilium.
Confusing, isn't it?  With all the different brand names that are used in
different countries, IMHO it would be nice if we could improve comms by
using generic names if we know them (perhaps in brackets after the Brand
name?)

Regarding the use of chlorpromazine as a galactogogue, there is quite a good
discussion on pp 412-3 of the Second Edition of "Breastfeeding, a Guide for
the Medical Profession" (sorry! I don't have the latest edition).  However I
worked with a mom a couple of years ago who was diagnosed with puerperal
psychosis at 8 days post-partum.  She was hospitalized and given extremely
large doses of IM chlorpromazine as a sedative.  Whether the chlorpromazine
was a cause or not I don't know, but within 24 hours there was complete
lactation failure, one of the most dramatic things I have ever seen.
Consequently I would distrust the reliability of chlorpromazine to induce
lactation.  In Zimbabwe sulpiride is used successfully to enhance/induce
lactation.

Pamela Morrison IBCLC, Zimbabwe

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