Although the books say that the effects of dostinex are irrevesible, I
have had two cases where we managed to re-establish the milk supply.
The half-life of this drug is 40 hours so you have to take that into
account.

In one case the mom had not taken the last pill, but in the second case
the mom had taken the whole course and her breasts were flaccid and back
to pre-pregnancy size.  Two weeks pp, the bby developed a deadly virus
and was rehospitalized in critical condition. The only thing that could
help stabalize him was - you guessed it- the magic golden liquid!!
He was TPN for long enough to get into a good pumping regimen and get
adequate amounts of breast milk.The head doc gave her Domperidone to
give the relactation a jump start, and within 4 days we were getting
surprisingly adequate amounts of milk!!
Whether or not she achieved full breastfeeding for an extended period, I
doubt.  She was a single mom who had to go back to work quite quickly
which is why, when the breastfeeding didn't go well in the first place,
she had given up.  She did get him through his illness and when I last
heard was still pumping enough to sustain his needs. She was planning to
geet donor milk from a close family member.  However, that was only
about a week after his release from the PICU.   My work load does not
permit me to keep close follow-up unless the patient initiates.

So it is worth a try!!

Good luck!!

Esther Grunis, IBCLC, who is supposed to leave for Oxford in a week to
visit Chloe Fisher, and hopes that the situation here miraculously calms
down!!
Lis Maternity Hospital
Tel Aviv, Israel
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