Sally,
Bromocriptine, used for a long time, will shrink a pituitary tumor and lead to prolonged remission of a tumor that secretes prolactin.
However, I have also seen moms with known high prolactin levels who don't make sufficient milk. She might have IGT. Sometimes I also wonder if the prolactin receptors in the breasts don't respond to prolactin because the breasts don't perceive a change in the prolactin level.
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: Wed, 29 Nov 2017 22:50:33 +0000
From: sally etheridge <[log in to unmask]>
Subject: Bromocryptine and prolactin levels
Hi,
Does anyone have any thoughts or info on whether taking bromocryptine long term (8 years) might affect prolactin levels once the person stopped taking it?
A mother here is finding it hard to express more than a little milk for her new baby, who is not yet breastfeeding, despite frequent pumping with good technique. When I asked about any medical conditions etc she told me she has high prolactin levels, which seems surprising. She came off the medication when she became pregnant.
Thanks!
Sally Etheridge IBCLC
Programme Lead
Leicester Mammas CIC
07580159278
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Date: Wed, 29 Nov 2017 18:57:03 -0500
From: "Jennifer Tow, MA, IBCLC" <[log in to unmask]>
Subject: Re: Frequent mastitis
I was this mother, although I was lucky to never take an abx, as homeopathy resolved it within hours each time. I had an avg of one bout per month for 6 months with my daughter, who had an undiagnosed TT (25 years ago). But, I also had chronic oversupply although I didn't pump and was very prone to plugs although my sons were not tied. It wasn't until I had my third and was dx with celiac disease that I made the connection between inflammation and oversupply. Once I removed gluten and my inflammation was gone, I had no more plugs and no more oversupply. In the past 15+ years, I have often recommended an anti-inflammatory diet and seen o/s, as well as OAMER and chronic plugs and mastitis resolve.
Jennifer Tow, BFA, MA, IBCLC, RLC, OMT
Intuitive Parenting Network, LLC
Holistic Lactation Consultant, Holistic Health Coach (focus in nutrition), founder Holistic Lactation Institute
Date: Wed, 29 Nov 2017 06:14:00 -0500
From: Nikki Lee <[log in to unmask]>
Subject: frequent mastitis
Dear Lactnet Friends:
Leslie Cree describes a challenging case of mastitis. (Hi Leslie!)
Thoughts: an inflammatory response worth investigating with Jennifer Tow?
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Date: Wed, 29 Nov 2017 21:00:29 -0500
From: Cindy Garrison <[log in to unmask]>
Subject: Re: repeated mastitis
Dear Leslie,
Many mothers I have worked with have found great success with lecithin, especially when it recurs in different spots. I use the recommended dosage and pattern of decreasing use found on KellyMom.com, which says:
The usual recommended dosage for recurrent plugged ducts is 3600-4800 mg lecithin per day, or 1 capsule (1200 milligram) 3-4 times per day. After a week or two with no blockage, mom can reduce the dosage by one capsule. If there is no blockage within another 2 weeks she can reduce it again by one. Mom may need to continue taking 1-2 capsules per day if stopping the lecithin leads to additional plugged ducts.
Hope this is helpful,
Cindy Garrison BS IBCLC
practicing in Pittsburgh, PA
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End of LACTNET Digest - 29 Nov 2017 (#2017-90)
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