Hey All, We may be correct in our belief that this warning is politically motivated but that does not release us from the professional responsibility to search the literature and review the original documents that the FDA cites as showing risk. I am guessing that we will find that it is as safe as we expected but until that work is done and references in hand we haven't anything to protest. We also do not have any proof that domperidone is an effective galactogogue, I personally have had many mothers who feel that it does increase their supply but an equal or greater number who feel that it didn't help at all. Randomized control trials would be difficult as each mother infant dyad has their own unique circumstances making it impossible to compare groups. BFAR moms seem to me to be the most promising group for such trials, has anyone done this? Tom Hale questions efficacy of domperidone and says that there is no mechanism by which it should work. This leaves us with a drug of questionable efficacy and potential risk. To dismiss this warning out of hand is dangerous and unprofessional. I think that most of us were breastfeeding advocates first and lactation professionals second. In cases like these our advocate hats are firmly in place making it difficult to draw on our professional experience. We then come off to the media and the public as unprofessional fanatics. Presenting ourselves as rational professionals able to analyze the situation without bias is critically important to our status as professionals and to our ability to promote, support and protect breastfeeding. Janie Akerlund RN IBCLC Nurse-Midwifery Birth Center Eugene, OR USA *********************************************** To temporarily stop your subscription: set lactnet nomail To start it again: set lactnet mail (or digest) To unsubscribe: unsubscribe lactnet All commands go to [log in to unmask] The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(R) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html