Years ago people used to say that using cabergoline later during lactation won't help to drop the milk supply because the supply does not rely on prolactin as much.
I would like to say that I have used cabergoline months and sometimes more than a year postpartum not infrequently, and it works like a charm whenever I use it, no matter how long the woman has been lactating.
Anne
Anne Eglash MD, IBCLC, FABM
Clinical Professor, Department of Family and Community Medicine
University of Wisconsin School of Medicine and Public Health
Medical Director, UW Lactation Services
Medical Director, Mothers Milk Bank of the Western Great Lakes
Founder and President of The Milk Mob, dedicated to building Breastfeeding Knowledgeable Medical Systems and Communities http://www.themilkmob.org
Date: Sun, 1 Apr 2018 16:34:19 +1000
From: Ruth Berkowitz <[log in to unmask]>
Subject: Re: bromocriptine
Hi all,
I had been told that there can be difficult to cease lactation with carbergoline if taken more than 4 days postpartum. While I rarely have to help a mother cease milk production, I have found full strength birth control or sudafed helps to reduce more rapidly.
This mother may wish to discuss with her doctors if the use of birth control would be appropriate during cancer treatment.
Kind regards,
Ruth Berkowitz, IBCLC, ABA breastfeeding counsellor, trainer & assessor
Melbourne Australia
Date: Sat, 31 Mar 2018 12:31:52 +0200
From: Jean Ridler
Subject: Re: bromocriptine
Bromocriptine is no longer used (at least here) to suppress lactation because of the side effects. Instead, we use carbergoline.
Jean Ridler RN RM IBCLC
Cape Town, South Africa
-----Original Message-----
From: Lactation Information and Discussion On Behalf Of Allyson Michaels
Sent: Friday, 30 March 2018 21:23
To: [log in to unmask]
Subject: bromocriptine
I have been asked by a non-OB colleague about the use of bromocriptine to suppress lactation in a woman under going treatment for breast cancer. The woman had weaned her infant but do to hormones, still has a MER with cries, etc. According to my colleague, the radiologist is having difficulty seeing where the meds and dyes are going due to full milk ducts. I have no experience with bromocritpine.
We talked about other forms of drying up milk such as sudafed, cabbage leaves, sage. Any ideas/comments are appreciated.
Allyson Michaels, RN, IBCLC
Charlottesville, VA
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