A mother of a former preemie just called me about increasing her milk  
supply.  The baby was born 3 mo early, is 6 mo old now (not corrected  
age).  The baby is still willing to nurse, and empties her breast  
really well.  She was interested in purchasing a Lact-aid.  She is  
mostly pumping, however, and we estimated that she is making 16 oz in  
24 hours.  She has been on 10 mg Reglan once/day since the baby was 3  
month old.  (She is also taking Fenugreek.)

According to Hale, this is a very low dose of Reglan, and she would  
need to be taking more like 30-45 mg/day.  However, she has been on  
it for 3 months, which is a long time, and I am concerned about side  
effects.  She feels it has caused her to gain weight.  Any thoughts  
on whether she should pursue Domperidone, and how to wean off the  
Reglan and onto the Domperidone (if weaning is necessary)?  Or would  
it be better just to up the dose of Reglan?  I would love to hear  
thoughts on this issue.

Sincerely,
Lynnette Hafken, MA, LLLL, IBCLC

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