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Date: | Mon, 19 Oct 1998 17:47:02 -0400 |
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To : Jan
Re : DHE-45
Sorry, but its really unlikely that DHE-45 is going to work in this patient,
and it was an especially poor choice to use in this mother. A little
morphine or sumatriptan (Imitrex) would have probably been better. It
should be obvious that the ergotamine is suppressing lactation via its
powerful inhibition of prolactin production.
Unfortunately I do not know, and cannot yet find, the length of suppression
following ergot exposure, but I would assume that prolactin production
could be restimulated with enough stimulation and some Reglan (30-40
mg/day). But I would imagine the earlier the better.
With other ergots (cabergoline), after 24-48 hrs of therapy, prolactin is
continually inhibited thereafter.
Regards
Tom Hale
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