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Experience with Dom - How long did it take to quit supplementing?

post #1 of 10
Thread Starter 

I have a baby who had a suck swallow breathe coord problem and could not drain the breast. He had failure to thrive and is just now in the 5%. He has improved a lot now at 4mos. In fact, I would say he is almost done with this issue.

 

I started taking Dom 2 weeks ago and have noticed some increase- I am taking 20 3Xs a day.  I have a med pump and some days pump alot - others not as much. Any experience with Dom and how it is supposed to work- how long it took to quit supplementing? I am supplementing around 6-8oz/day with formula and the rest breast milk. 

 

Any advice and history would be greatly appreciated! This has been a very hard road for us breastfeeding.

post #2 of 10

I was never able to stop supplementing, but my supply was substantially lower than yours.  What I did find was that it took about 6 weeks to get the full effect of Dom.  I took 40mg, 4 times per day and went from 2-4oz per day to 12-14oz per day in 6 weeks.

 

Definitely keep at it!!!  If you only need to increase 6-8 oz per day, Dom should work for you!  Give it time, and if you're still not getting the results you want, try adding in an extra pumping session and consider increasing the Dom dose.  Mine was prescribed by Dr. Jack Newman and he said it was perfectly safe to take up to 160mg per day.  I started out at 30mgx3 for 4 weeks and didn't notice much improvement until I moved up to the max dose.

post #3 of 10

Have you tried doing "power pumping" sessions?  You pump for 10-20 minutes, rest 10 minutes, then pump another 10 minutes, then rest for 10 minutes, then pump again for 10 minutes. You do this for about an hour, once per day, to increase supply. It's supposed to mimic a growth spurt. I did not end up using dom, but my son was on a nursing strike for a month and I needed to build my supply and this did work for me.

post #4 of 10
Quote:
Originally Posted by Layney82 View Post

I was never able to stop supplementing, but my supply was substantially lower than yours.  What I did find was that it took about 6 weeks to get the full effect of Dom.  I took 40mg, 4 times per day and went from 2-4oz per day to 12-14oz per day in 6 weeks.

 

Definitely keep at it!!!  If you only need to increase 6-8 oz per day, Dom should work for you!  Give it time, and if you're still not getting the results you want, try adding in an extra pumping session and consider increasing the Dom dose.  Mine was prescribed by Dr. Jack Newman and he said it was perfectly safe to take up to 160mg per day.  I started out at 30mgx3 for 4 weeks and didn't notice much improvement until I moved up to the max dose.


Layney,

 

Thanks for posting this.  I've tried 10mg 4times a day, then went to 30mg 3 times a day and am now on 40mg 4 times a day.  My supply has crept up but I keep wondering where the big increase is.  Good to know that you were able to get your supply up that much in 6 weeks.  Maybe there is hope for me!  I am seeing a bit more of an increase with this last dosage....been on it for about 5 days.

 

post #5 of 10

Gemasita,

 

Keep that hope alive!  Dom does work well, but in my experience, the increase in supply happened gradually.  I never saw any huge increase, just an extra 5-10 mL every few days - over time, it adds up.  I also found that the increases were more noticeable when I challenged the 'girls' as much as possible.  This meant switch nursing - left side with compression until DS stopped 'drinking', right side with compression until he stopped drinking, left again, then right again before starting supplementing with SNS.  I also pumped after feeding for 10-15 minutes even though I never got more than a few drops in the bottom of the collector bottles.

post #6 of 10

Hang in there, mama.

I'm still supplementing DS2 but thanks to the dom and pumping after every feed I'm able to supplement with all BM in a Lact-Aid. I'm down to 15 ml of supp a feed and hoping to eliminated it and get down to pumping a few times a day. My supply really went up a week after starting 90 mg a day at one week post-partum.

Even with the dom I had to supplement DS1 with 8 oz of formula a day - I wish I'd tried taking more than 90 mg a day.

Two quick things. I've been told that dom only works if there's lots of milk removal so I'd step up the pumping. Second, if you're using bottles, I'd switch to supplementing at the breast with a SNS or Lact-Aid.

Cheers,

Megan

post #7 of 10
Like you, I started taking Domp. when my baby was 3 1/2 months old. And I learned that, just generally, it takes longer for Domp. to work the later you start it (counted from birth). Apparently, chances are if you start taking it in the first week or 2 it takes just a few days, while if you stat 3-4 months down the line you can expect it to take up to 6 weeks.

For us, there was an increase in milk supply by the second week, when DD refused 50 ml (ca 1.7 oz) of the extra (donated milk in SNS). 250 ml (ca 8.5 oz) was the most she ever took, just the first week of taking Domp. A week later she started to refuse another 50 ml ( we gave her 50 ml extra, offered at up to 6 times spread out over the day), then it kept going down by about 50 ml per week. About 2 1/2 months after starting the Domp. we used the SNS for the very last time, in the last couple of weeks we'd offered her some extra only if she seemed hungry, maybe every 2-3 days or so. By the next weigh-in, 6 weeks later, she had gained better than ever before! And we've never worried about her weight since then, she was below the 3rd percentile and investigated for FTT at 3 1/2 months. I kept taking Domp., but think I started to, very slowly, cut down on it, and had stopped taking it by the the time she was 12 months old (could have stopped around 8-10 months, maybe?).

I don't even remember how much I took, but I know it was as per what Dr Newman recommends at his website.

And what Megan says about milk removal is what I was told by our specialist ped too. He recommended that we cut down the feeds (when it seemed like DD wasn't wanting them, so when she refused a lot of a feed's extra for a day or two, we'd just stop offering that, and keep offering the breast a lot), to make sure she removed all the milk possible. I don't respond well to the pump, so that was never an option for me.
post #8 of 10
Thread Starter 

Thank for the detailed info! It was really helpful. I decided to gradually up my dosage to the 160mg. I am at 40mg now 3xs and going to 40mg 4xs in a few days. I have also been giving him as much supplement as he wants which he now takes as a personal challenge to finish the bottle- so I am thinking to limit how much I offer after feedings. Will let you all know how it goes in a few weeks.

 

post #9 of 10

I started with 90mg a day broke up into 3:30mg doses..

 

I unfortunately was not able to quit supplementing... I would have to supplement about 5oz or so a day... some days when I had a good supply because of increasing pumps or power pumping I was able to give her all breastmilk that day...

 

I however am running out of dom and currently waiting for my next shipment to arrive and am losing my supply... I am praying my supply gets here quick or my pumping days are through... :(

post #10 of 10

MedicBaby - hugs to you.  My supply has dwindled to .75-1oz per pumping session the last few days, even on the 4:40mg doses.  Not sure what's going on there.  I'm also waiting for a shipment but hopefully will have enough until it gets here.  I tried pumping more often today and maybe need to do some more power pumping sessions.  I was up to about 2-2.5oz a session so I don't know what happened.

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