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Switching back and forth between Domperidone and Reglan - Urgent!!

post #1 of 2
Thread Starter 

My LO is 4 months old. He doesn't take supplementation of ANY kind and I cannot pump.

 

First 2 months I had oversupply which due to his un-diagnosed tongue tie, reflux and ineffective transfer he brought down to low supply.

 

I started on 30mg/day of Dom when he was 2 months old and somehow kept plateauing and everytime that happened I added 10mg....

 

Now am on 160mg/day of Dom.

 

Have plateaued and I seem to have gotten drug-tolerant to it.

 

Am thinking of taking Reglan for 1.5 to 2 weeks to jumpstart my supply. I am aware of the risks.

 

I have heard that taking Reglan for even two weeks has long term supply benefits...versus Dom which needs to be taken continually. Is this true?

 

If I do take Reglan.. how do I switch? Stop Dom cold turkey and take Reglan for two weeks.. and then go back to Dom?

 

If I do go back to Dom because my Reglan supply isn't holding up should I take 160mg/day again or start over with 30mg/day?

 

Remember - my LO doesn't take any supplementation so I cannot experiment with low supply. It can get dangerous and go south very fast.

 

If I need a doc or LC or midwife to help me...who do I contact? My obgyn doesnt seem to have had experience with Dom. How can I find one who has experience with both and knows how they individually function and how they will interact with each other (atleast during the overlap time)?

 

Does anyone know one such person around the Seattle area? Does anyone know an answer to my Question? Apart from the side effects does anyone see an inherent detriment in my plan? 

 

I am thinking if Reglan doesn't work I will go back to Dom and at least I should be no worse than I am today and if Reglan works ..then great.. I should have a good supply again and if it is true that you need to take Reglan only for 2 weeks for even 2 months or more of benefit then I will be drug free..

 

...even if I get 2 months benefit out of this I will be in a better place because I will start my LO on solids when he is 6 months old.

 

Please help.

post #2 of 2
Thread Starter 

I am in touch with a good LC but she also says she doesn't know the protocol to switch back and forth and how reglan may work and how my body may work while cutting down Dom cold turkey.

 

Am trying to work out a protocol. If you know someone somewhere who would consult with me via phone...I would be willing to try that too...

 

Basically here's what I am thinking...roughly

 

Reglan is supposed to work for a longer period of time when taken for a short period ...versus Dom which needs to be taken continually.

 

I stop 160mg/day of Dom cold turkey and take 20 mg of reglan the first day (is this safe or will this tank my milk supply completely and suddenly?)

Next day I take 40 mg of Reglan ..and for 3 days

Then I take 60 mg of Reglan (my highest dose) for 3 more days. Am I right that 60 mg is considered a pretty high dose? What is the highest acceptable dose of Reglan? I know Dom is 160mg/day

That will be 7 days or one week already

 

Meanwhile if I hallucinate or have shivers or really bad symptoms I stop Reglan cold turkey any time.

 

Now I take 50 mg/day for 2 days...then 40 for 2 days...then 30 for 2 days and 20 for 2 days ... that is 8 days...

Approx 2 weeks....

 

Now the way I read about Reglan is... it needs to be taken for these 2 weeks and it boosts milk supply for the length of the breastfeeding relationship or at least till 2 months. If that happens.. then I don't take any drug for at least 2 months or more...

 

When I see a decrease I restart Dom.

 

Question is do I start at 30 mg/day and add 10mg extra everytime I see a plateau or should I add back the 160mg/day at that point?

 

And will these experiments take away the 80% supply I have going on for me right now completely and are more hazardous than helpful?

 

Remember 80% supply is not enough for me ..because my LO does NOT take any supplementation of ANY kind. Even expressed breastmilk. He spits it out even if we pour drops!

 

Can anybody chime in about the protocol? Or my assumptions on how Reglan works?

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