Dear Marie, This problem actually ties into another topic from last week. I never used syntocin for letdown because of the rebound affect. The more you use it the more you need to use it. Years ago I heard Dr. Neifert talk about using syntocin for "hideous" engorgement. It really works well. I have found that women who have had breast implants will have this tight engorgement that can not be softened. Syntocin, three or four times works. I was sorry to hear that it was not being made. Part of the problem is that it had a short shelf life and I know I could not keep them in business. The hospitals were the only ones who had it. We had one dr. who gave it to every mother who gave birth "incase her milk would not come down for the baby", yuck! Anyway maybe someone could figure out how they made it to tell a pharmacist. It is just synthetic oxytocin. Diane Herforth, IBCLC Tacoma WA