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Subject:
From:
Barbara Berges <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 20 Mar 2002 20:33:10 -0500
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Wendy writes:  "OUr Florida lactation consultants assoc is having a "very
heated debate" regarding the efficacy of using domperidone.  It has been
stated that it is ILLEGAL for physicains to write the Rx!!..... It is
basically in a deadlock, because
if it is illegal for the docs to write the rx, then the pharmacist CANNOT
compound it!! ....Finally, I don't know if this is a florida issue or
not?.... Is the laws for doctors script writing
privledges nationwide or state controlled? "


This is my understanding of the issue of domperidone in the USA.  It is only
my understanding of what I have read and heard from various sources.

The FDA has not approved domperidone for use in the USA.  This is because
they have not been asked by the manufacturer to approve it.  It does not
mean that they have looked at it and decided not to grant approval.

The American Academy of Pediatrics lists domperidone as "approved for use in
breastfeeding mothers".  They must have reviewed enough references to make
this statement.  They do not approve medications lightly.

This medication is on the list of available drugs that my local compounding
pharmacist can order and dispense.

Compounding pharmacies mix many medications that are not "officially"
approved by the FDA.  These include making sweeter medicines for children,
for example.  The Supreme Court just decided to hear a case challenging
changes Congress made in 1997 to restrict advertising by compounding
pharmacies.  Obviously (to me) there is federal government oversight of
compounding pharmacies.  Then how can it be illegal for a doctor in the USA
to write a prescription for these pharmacies to fill?

Barb Berges BS, RN, IBCLC
Rochester, New York

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