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Domperidone

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Hi again J

I ‘d like to learn

from your experience.

I have a client who has a

4 mo. baby girl . She wasn’t able to breastfeed peacefully from the

beginning for the several wrong advices she had L. She pumped just

for a short while about on 1st month then stopped and just gave

breast for bonding. Luckily she comes from the USA, so can read easily all the

info on the web (much more than in Italian), very motivated, and never stopped

to look for help and called me last month. She took a train with the baby girl

and came to me (3 hrs!) . The baby latched pretty well considering that she

took a bottle from her birth. But of course she was frustrated for the milk

flow after a few minutes , crying for the bottle.

I suggested the mom to

take a pump and start pumping. She started to take domperidon too. The milk

started to flow, with an up-and-down, and I gave her a LOT of support to cross

over the ‘down’ moments. Now she writes me telling that she

realized that the domperidone dose for her is not enough and she has now a

better goal with a 80mg/day dose. I am a bit concerned as I don’t use so

often drugs and I always knew about a 40mg dose.

What do you think about? Are

there higher side effects risks with such that dose?

Many thanks!

a Carabetta,

PP-IBCLC

Rome, Italy

www.latteecoccole.it

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