Hale 2014 L3. No need to pump and dump. Completely suppresses lactation. Good luck with relactating.
-----Original Message-----
From: Lactation Information and Discussion [mailto:[log in to unmask]] On Behalf Of Coudray Françoise - IBCLC
Sent: Monday, November 17, 2014 11:51 AM
Subject: cabergoline - how long before resuming breastfeeding/breastmilk
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
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome
***********************************************
Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome
|
