Hello to all of you,
(permission to post)

A mom called me for relactation; (baby is 24 days old).
She had her milk production dried up with cabergoline ("Dostinex") last 
week:
monday evening, tuesday morning + evening, wednesday morning,
0.25 mg each time;

She regrets a lot; and:
She envisages to relactate, the problem is: how long before giving 
breast (or breastmilk);

Counting 5 half-lives (63-69 hours), it takes 13 days before eliminating 
the drug; which is a very lot;

she had other contacts giving her: from "now" to "3 weeks", before 
contacting me;

On my own side, I have only Hale + 5 half-lives; I searched also in 
Lactmed, nothing more was given compared with the Hale (2012) concerning 
this problem;
And I have no clinical cases giving a clue;
The only thing is concerning moms with hyperprolactinemia, who can take 
cabergoline (at low dose) and breastfeeding + monitoring the baby.

For instance, my answer was counting 5 half-lives, call a center in 
France which may have collected a case or two, contact Lactnet with her 
permission, so she can take an informed decision.

Maybe one of you has detail to share?
Thanks in advance,

Breast regards,
Françoise Coudray, IBCLC

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