Domperidone Can Help With Low Milk Supply


Motilium Will Increase Breastmilk – Learn How to Improve Nursing

Breastfeeding mothers typically have no problems with low milk supply, but for mothers who do experience this complication, there are many techniques to increase breast milk. Proper hydration, frequent nursing sessions, herbs such as fenugreek and stress reduction can all help, but some women find they need additional help.

Domperidone, known also by the generic name motilium, is a prescription drug used in many countries to help improve nursing and increase breastmilk, and can be a valuable tool for any mother-baby breastfeeding pair struggling with volume issues.

Low Milk Supply and Breastfeeding

Low milk supply can result from many factors, including but not limited to:

  • breast reduction surgery
  • improper latch
  • complications from cesarean section
  • insufficient glandular tissue in the breast
  • thyroid problems

Any breastfeeding pair struggling with insufficient volume should always consult a lactation consultant to correct problems that can be corrected. For instance, if stress and dehydration is the problem, mothers need to address lifestyle and nutrition. If latch is the problem, a lactation consultant can help to retrain the baby or address any additional complications. Thyroid problems should be corrected via an endocrinologist or primary care physician who can offer hormone replacement prescription drugs.

But if all known causes for low milk supply are addressed or ruled out and breastfeeding still does not create enough for the baby, turning to domperidone can help.

How Domperidone (Motilium) Can Increase Breastmilk

Dr. Jack Newman, a leading breastfeeding researcher based on Toronto and founder of the Newman Breastfeeding Clinic and Institute, has studied domperidone for more than two decades and has tracked thousands of mothers who have taken motilium to increase breastmilk.

Domperidone works to help with low milk supply, he explains, by “increasing prolactin production by the pituitary gland. Prolactin is the hormone that stimulates the cells in the mother’s breast to produce milk. Domperidone increases prolactin secretion indirectly, by interfering with the action of dopamine, whose action is to decrease the secretion of prolactin by the pituitary gland.”

This boost of prolactin from the motilium is the key to helping improve nursing and to produce more milk. Taking the drug can help to permanently boost breastmilk for many mothers, long after stopping the medication.

On the webpage adapted from the brochure “Domperidone, Getting Started” (May 2008), Dr. Newman recommends that mothers take three 10mg tablets three times a day, increasing the amount taken as needed. Some women take as much as 160 mg per day for months on end, without side effects. Dr. Newman notes that side effects are rare, but may include:

  • headache (which fades after the first few days)
  • abdominal cramps
  • dry mouth
  • change in menstrual periods

Domperidone is used for digestive disorders and increases the speed of digestion, so most side effects are associated with the digestive tract. Determining when to stop the drug is an individual judgment, depending on a number of factors, including but not limited to:

  • effectiveness of the drug
  • side effects, if any
  • baby’s nursing habits and transition to foods

Most women struggling with low milk supply take motilium for six to eight weeks, though the range can extend as far as 18 months.

Nursing and Pumping Breast Milk for More

Recent research into the use of domperidone to increase milk supply shows that it is effective in more than two-thirds of all mothers using the drug, and that the amount of motilium released into the breast milk is very low, with no known effects on the infant. The drug is administered directly to some infants with gastrointestinal disorders, in amounts hundreds of times the amount found in breast milk, with no recorded side effects.

Some breastfeeding moms find the drug useful for increasing supply and then pumping breast milk to create a “freezer stash” – frozen bags of breastmilk – for use during times away from their child, such as work, vacation, business trips, or planned surgeries.

Using domperidone to increase milk supply can be a very useful tool to improve nursing, strengthen breastfeeding, help baby’s nutrition and more.

Where to Buy Domperidone for Low Milk Supply

For breastfeeding mothers who have decided to use domperidone, also known by its generic name motilium, to increase breast milk, the next logical step is to buy the drug. Buying domperidone for low milk supply can be a challenge, but select compounding pharmacies and online drug stores are the best option.

Domperidone for Low Milk Supply

In the United States, domperidone is only available by prescription, and is available at compounding pharmacies. Unlike typical drug stores with a pharmacist’s shop within, a compounding pharmacy dispenses regular pharmaceuticals and also creates custom compounds for patients. For instance, if a patient needs a specific drug at an odd dosage, the compounding pharmacy can make a custom blend. In the case of domperidone for low milk supply, the motilium is custom-blended for mothers using the drug for breastfeeding.

Increase Breastmilk With Motilium

While most compounding pharmacies in Canada carry the drug, as do many regular drug stores, in the United States domperidone has faced controversy in recent years. Reading researchers such as Dr. Jack Newman of the Toronto-based Newman Breastfeeding Clinic and Institute have been prescribing motilium to increase breastmilk for more than a decade. The drug is considered by specialists to be safe, with few side effects.

In the United States the FDA temporarily halted the sale of domperidone in 2004 following a press release claiming the drug was not safe for infants and breastfeeding mothers. However, the research used by the FDA to make this claim was more than two decades old and was based on side effects from intravenous domperidone in high dosages, not oral domperidone taken in the recommended dosages following low milk supply protocol.

The American Academy of Pediatrics lists motilium/domperidone as safe for breastfeeding mothers on their AAP policy sheet “The Transfer of Drugs and Other Chemicals Into Human Milk” as of February 2010.

Compounding Pharmacies That Sell Domperidone

In the United States, the following compounding pharmacies sell domperidone:

  • Lauden Phamacy, Capitola CA: (831) 462-9880
  • Los Altos Pharmacy, Los Altos CA: (650) 948-1212
  • Martin Avenue Pharmacy, Naperville IL: (630) 355-6400
  • Midwest Compounders Pharmacy, Overland Park KS: (913) 498-2121
  • Nature’s Pharmacy and Compounding Center, Asheville NC: (800) 645-8201
  • Lloyd Center Pharmacy, Portland OR: (503) 281-4161
  • Carie Boyd’s Prescription Shop, Hurst TX: (800) 930-4361
  • Northside Pharmacy, McKinney TX: (972) 542-4481
  • People’s Pharmacy, Austin TX: (512) 459-9090
  • Randol Mill Pharmacy, Arlington TX: (817) 274-1883
  • Johnson’s Pharmacy, Merrill WI: (715) 536-5940
  • MDRX Pharmacy, Glendale WI: (414) 967-9248
  • Ye Olde Pharmacy, Cedarburg WI: (262) 375-0010

Other Sources of Motilium

In some countries, such as New Zealand, Italy, and Mexico, domperidone is available without a prescription. As a result, online pharmacies based in these countries will sell to the public within the country and internationally, and a prescription is not needed. The price for motilium at these Internet-based drug stores varies widely, so look for good prices and professionalism in the website before buying domperidone.

Regardless of how the drug is acquired, choosing to use motilium to increase breast milk and improve breastfeeding can make a huge difference in quality of life for nursing mother and infant pairs. When used wisely, according to protocol, the benefit of knowing where to buy domperidone and how to use it is an important part of infant feeding and care.

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