i have found another source for domperidone that i want to share with
everyone, as i know there are at least a couple of people on lactnet who are
interested. the murray shore pharmacy in toronto (amazing, isn't it, small
world syndrome) will dispense domperidone with a prescription from a US
doctor. prices are very good, cheaper than the mexican pharmacy, and they
even have an 800 number. i have had three people obtain some from this
source, with no problems.
since there isn't exactly much competition in pricing for something not even
available in the us, i will mention the prices they quoted me (subject to
change, of course).
murray shore pharmacy
1-800-201-8590
10 mg.
100/$39
120/$45
500/$163
in response to an earlier post, i must point out that i don't use drugs
"before" trying other interventions, as a rule. but, there are certain
guidelines i follow when recommending domperidone to a patient. first of all,
i don't like reglan, and the experience of moms who have taken it confirms my
impression that domperidone is much better. however, i do tell moms about
both ("advantages" of reglan are that you can get it the same day your doctor
calls it in, for just your insurance copay, your doctor may be more
comfortable prescribing it, etc.).
if someone is suffering a short term drop in an established supply, she
probably doesn't need domperidone. that is, if i think she can fix her
problem and return to a good supply by simply adding back a dropped feeding,
getting a better pump, etc., i will usually advise that and give her my
herbal tincture. conversely, if a mom doesn't follow the plan by increasing
nursing or pumping, fixing the problems that may have caused the low supply
(poor nursing, infrequent nursing, etc.), then none of these drugs will help.
if someone has never had a good supply, especially if it is in the first week
postpartum and mom shows no signs of getting in lots of milk, or if it is
adoptive lactation, relactation, or induced lactation, i believe we need to
pull out all the stops, so to speak, and do everything, including
recommending using drugs, immediately.l
unlike some people, i think having to supplement with formula is a sign of a
medical emergency and something to be avoided. donor milk is available, true,
but there is the issue of medical need and cost. so, if the situation is
heading towards moms having to use formula, that is an emergency and using
domperidone is a reasonable response to the emergency.
i have a handout i give my patients (adapted from jack's) with all this
information, and i am happy to share it if you want a copy, and have added
the new information. i also will be happy to tell you more about my herbal
tincture, which can be taken in conjunction with domperidone or reglan, and
seems to boost the effect.
carol brussel IBCLC
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