Domperidone is a prescription medicine generally used for nausea and vomiting. However, Lactation Consultants around the world use it to increase breast milk supply.
Domperidone is prescribed by a GP after a discussion to check it is suitable for you. Domperidone may interact with some antibiotic and antifungal medicines and some heart medicines.
Domperidone increases the level of the hormone prolactin which is involved in breast milk production. Expressing or breastfeeding frequently, while taking domperidone, will help increase your breast milk supply.
It is used when breast milk supply is low and when extra breastfeeding or expressing are not enough to increase milk supply.
It may be useful for mothers of preterm babies, very sick newborns or adopting mothers.
To increase breast milk production, you will use 10 mg (one tablet) three times a day until breast milk supply is well established. This may take several weeks.
Once milk supply is well established, you can decrease the dose slowly, ie drop one tablet every few days and if no change to supply, continue to decrease further.
Some mum's notice a change to supply within 24-48 hrs but it can take 2-4 weeks to reach its full effect.
It is suggested a minimum of two weeks on domperidone is best. This can be monitored by your LC/GP.
Some reported side effects include headache (most common), abdominal pain, dry mouth, rash and trouble sleeping. Other side effects such as restlessness and muscle spasm may occur, but they are very rare. Tell your doctor or pharmacist if you experience anything unusual or if you feel unwell.
No side effects have been reported in infants of breastfeeding mothers using domperidone.