OUr Florida lactation consultants assoc is having a "very
>heated debate" regarding the efficacy of using domperidone.  It has been
>stated that it is ILLEGAL for physicains to write the Rx!!

It is not illegal for a physician to prescribe any compounded drug that
she/he needs to. Compounding pharmacies work with physicians all of the
time. A physician can prescribe a compounding of whatever is needed. It is
also not illegal for her/him to prescribe a drug to a Canadian pharmacy. It
is also not illegal for a person to order drugs from another country if it
is for personal use only.

FDA approval is for manufactured drugs and does not limit a given physician
in her/his use of the drug. An MD can prescribe a drug for uses other than
those that are approved by the FDA-- something that they frequently do.
Many drugs that are prescribed for infants have not been tested and
approved by the FDA.

The physicians whom I work with know what they can and cannot do legally
and they would not take chances with APNO or domperidone or even Reglan
(which is not FDA-approved for breastmilk production).

I don't know how the rumor (Urban ledgend?) got started that it is illegal
for a physician to prescribe a drug that is not available in the U.S. or a
drug that must be compounded, or a drug to be used other than what it is
approved for.

Just to be suspicious, did the makers of Reglan promote this rumor? I don't
really think that they did. I think that it comes from people who are
concerned but who have not checked their facts.

Pat Gima, IBCLC
Milwaukee, Wisconsin
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