How long is too long to use Domperidone for milk supply issues?  
I am working with a mother who has been dependent on Domperidone for her milk supply for almost 2 years.  She is taking 3 domperidones, 4 times per day.  This mother has never made a full supply no matter how much she nurses and pumps.  Her baby loves to nurse and seems to appreciate whatever is there.  When she tried to manage without the domperidone a few months ago her supply dropped from being able to pump 3 oz at work to pumping only 1/2 oz.  She is ready to stop the work day pumping when baby turns 2 next month and is wondering about stopping the domperidone too.  She is just concerned about being on it so long.   She plans on baby led weaning.   I do not have experience with such a long duration of domperidone use and do not see that issue discussed in the literature.
Thank you for your help!

Pardee Henderson, MPH, IBCLC, HTCP/I
Charlotte, NC

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