The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment. For women who suspect they have low breast milk supply, the first thing to do is get some breastfeeding support. A lactation consultant or other specialist can provide practical help with attaching the infant on the breast, and guidance on strategies to stimulate supply, such as increasing the frequency of breastfeeds or using a breast pump.
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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. Domperidone is generally used for disorders of the gastrointestinal tract gut and has not been released in Canada for use as a stimulant for milk production. This does not mean that it cannot be prescribed for this reason, but rather that the manufacturer does not back its use for increasing milk production.
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Most medicines are safe to take while you are breastfeeding. However, some medicines enter your breast milk and can affect your baby, so it is important to get advice from your doctor or pharmacist first. Most medicines are safe to take while you are breastfeeding because they do not pass into your breast milk.
Most mothers are able to produce more than enough milk for their baby iesespecially when accurate support and information is obtained. By far, the most important way to establish and then maintain a good milk supply is for breastmilk to be removed often and well. When all factors contributing to a low supply have been identified and addressed, then galactagogues may help to speed up the process.
Medically reviewed by L. Anderson, PharmD Last updated on May 23, It is widely accepted that human milk is best for an infant.
With considerable dedication and preparation, breast-feeding without pregnancy induced lactation might be possible. Normally, the natural production of breast milk lactation is triggered by a complex interaction between three hormones — estrogen, progesterone and human placental lactogen — during the final months of pregnancy. At delivery, levels of estrogen and progesterone fall, allowing the hormone prolactin to increase and initiate milk production.