![]() ![]() It is available as an over the counter medicine to treat bloating after meals. This drug is used to speed gastric emptying and is used for dyspepsia after meals, reflux oesophagitis and vomiting (BNF). However it can produce extra-pyramidal side effects including tremor and slow, shuffling movements as well as precipitating depression (Ingram 2011, BNF) Domperidone (Motilium ®) Clinical studies have shown that it increases prolactin levels and consequentially milk supply at a dose of 10milligrammes three times daily. Expert assessment of the latch and the effectiveness of feeding is essential. Medication should not be advocated as a solution to unfounded concerns or where additional support and encouragement as well as consistency of information are the prime need. Many women perceive that their milk production is inadequate and it is the commonest reported reason given for cessation of breastfeeding earlier than the mother had intended. Use of these medicines as galactagogues is outside of the licence application and prescribers are required to take ultimate responsibility for their use. Medicinal products which have been shown to increase milk supply produce their effect by dopamine antagonism, generally as a side effect, whilst having other therapeutic effects. However if a mother believes it will help her, the positive effect may be apparent – whether due to placebo or genuine effect is unknown. There is limited research evidence to support its effectiveness. In the past Guinness and Vitamin B supplements have been advocated widely. Many cultures have their own remedies to increase milk supply (Riordan and Auerbach 1998). Smoking is associated with decreased milk production and smokers are more likely to wean earlier because of low milk supply or to notice inhibition of letdown (Vio 1991 and Hopkinson 1992). Reduction in milk supply is frequently noted after premature delivery with milk supply maintained only by expression over a period of weeks (DaSilva 2004 and Wan 2008). Less than perfect positioning and attachment of the baby at the breast resulting in incomplete breast drainage.Nipple stimulation controls the release of prolactin whilst oxytocin controls the release of the milk, experienced as the letdown. The production of milk is controlled by the hormone prolactin. Galactagogues are substances that aid the initiation and maintenance of milk supply at a level which meets the needs of the baby. The data presented here is intended to provide some immediate information but cannot replace input from professionals. Clinical decisions remain the responsibility of medical and breastfeeding practitioners. No responsibility can be taken by the author or the Breastfeeding Network for the way in which the information is used. The information provided is taken from various reference sources. #Increase milk supply pdfThis information can also be viewed as a PDF by clicking here. ![]()
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