Hi, I am writting just to comment on the use of metoclopramide to increase
milk supply. I attended a lecture given by Jane Colvin pharmacist, RWH,
Melb. Australia, and she suggested caution on the use, due to effect
unknown effect on infants. She commented that when it was given to animals
?mice it effected their nerotransmission. If used to give it straight after
a breastfeed and avoid breast feeding for 3 hours, then use it only for
10-14 days. Could someone comment on this please? Also it is known that
after ceasing metocopramide, the milk supply drops.

 It was suggested if wanting to use something to use milk thistle 1/2 dose
recommded. Non toxic to mother and baby, does increase the milk supply.

Bottom line is , all these are short term fixes and the baby needs to
increase the supply. This can be difficult when you haven't got a baby at
the breast.  Hand expressing before and after using a pump can help,( with
nipple stimulation).

Jodie Hutchins IBCLC