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FAQ: Domperidone (Motilium) - Page 14

post #261 of 442
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post #262 of 442
I'm so glad to have finally found this thread! It would have been fantastic to find a month ago when I was first starting Motillum, but at least I had all of the info on Kellymom to help guide me though how to obtain it and doseage.

Just wanted to share my experience with it so far: BF my older ds for almost 3 years with no problem so when baby #2 was born 6 months ago it really took me by surprise when we started having some major supply issues. It was very clear that I wasn't producing enough for her and after a while I began to realize that she was always hungry nor did she gain any weight in between 3-5 months.

I tried pretty much everything- enough fenugreek to make me smell like a maple syrup factory, rented a hospital pump, blessed thistle, you name it. The fenugreek worked for a while, but after a few weeks all of a sudden my supply plummeted again.

I was able to get some leftover domperidone from someone who had extra. I've been taking 30 mg 3 times each day. Within 2-3 days I noticed a slightly more "full" feeling and after a week my breasts got really heavy and full just like when my milk first came in. Dd has gone from being fussy at the breast to now being very content as she gulps. I can hear her swallow for the first time in months. She's gone from having dirty diapers once a week or so to blowouts 2-3 times daily.

I work 16 hour shifts twice a week. Before starting the medication I would pump every 2 hours at work and if I was lucky I might get 4-6 ounces. Now I'm easily pumping 25-30+ ounces during my shifts!

The only downside for me so far is that I feel slightly engorged much of the time and I get uncomfortable if I can't nurse/pump very frequently. This lead to some pretty badly clogged ducts last week. Since my supply was so great and I've stored up an impressive freezer stash in the last few weeks I decided to see what would happen if I stopped taking it. Unfortunately, within two days my supply dropped down to almost nothing again so I've started taking it again and once my supply is back up I'm going to see if I can slowly reduce my dose but probably not quite entirely again. I'll happily learn to live with a slight oversupply issue as opposed to the low supply issue that has given us so much trouble (and lots of tears and crying from me!) these past few months.

My dd had her 6 month appointment recently. I took in some info on domperidone and the box of Motillum that I've been taking. Our pediatrician is fantastic and extremely supportive of BFing so she was happy to write me a prescription. And it turns out that we have a small local pharmacy that is in-network with my insurance company AND has a compounding pharmacist on staff so I'll be able to get it for free now! (At least till the end of the year- in January our $4k deductable kicks back in and it will all have to be out of pocket, but until then I plan on making sure that I get every little bit of domperidone that my insurance company will pay for. It's also why I want to slowly wean myself back to the smallest dose that works for me in hopes that I'll end up with enough extra to tide me past the end of the year. )

So far I couldn't be happier with my experience with domperidone and at this rate, my freezer will be full very soon. If that happens I'll most likely end up donating any extra milk which will just make it all come full circle since I relied on some donated milk for dd before the domperidone!
post #263 of 442
Thread Starter 
for you Wabi Sabi! I think slowly reducing the dose sounds like a great plan.
post #264 of 442
Thread Starter 
Do you have access to Shatavari? That might work in a pinch.
post #265 of 442
Thread Starter 
post #266 of 442
Quote:
Originally Posted by girlymom View Post
Thanks for the support!

Wow, if I pump 3.5oz I'm feeling pretty damn cool! I have twins and am taking reglan, going to switch to domperidone soon so I can take it long term. My twins are three months now, getting 50% formula, which just sucks. Can't wait to have them JUST have breastmilk, here's hoping the dom works well.
post #267 of 442
"I work 16 hour shifts twice a week. Before starting the medication I would pump every 2 hours at work and if I was lucky I might get 4-6 ounces. Now I'm easily pumping 25-30+ ounces during my shifts!"

WOW! That is SO awesome! I work 12 hour shifts (RN) and pump three times...and I get (boohoo) about six ounces total. And I have twins, so that's NOTHING compared to what they eat. My son eats about 4oz at a time, daughter 5oz..and every three to four hours.
post #268 of 442
Thread Starter 
post #269 of 442
Thread Starter 
again!
post #270 of 442
I just wanted to say that I find this thread really helpful. I ordered some Dom and I'm hoping it will be here soon. Funny enough, I have taken it before for stomach motility issues. I wasn't breastfeeding at the time, but it did help my stomach without any side effects. This was at a time where I could get it at a compounding pharmacy. Shortly after I stopped taking it, I got a notice from the pharmacy that they could no longer produce it. I never even knew you could get it without an Rx from other countries. As a side note, I have taken Reglan as well for stomach problems and it was awful. It made me crazy. I felt like I had to go, go, go and do everything under the sun. I used to have severe stomach problems and they gave me a big dose of Reglan at the hospital one night too. I didn't know I was having a reaction to it at the time, but it was terrible. Dom didn't have any of those effects on me. And it's not FDA approved. Go figure.
post #271 of 442
I have been taking dom for awhile now. Anyone know what will happen if I just quit taking it? Will I loose my supply?
post #272 of 442
What a great thread!
My LC wants me to take Domperidone but trying to find someone to prescribe it is tricky and as a licensed health care professional myself I'm not sure I would want to put anyone in that kind of position should something go wrong.

Anyway, I was looking at the resources to order online. My question though is what are the consequences of getting "caught" so to speak? Do you just not get your order? Are there legal ramifications of ordering online from the UK where it's OTC? Also is everyone comfortable that they are getting "good" medication?
Sorry for so many questions, I just want to make sure I know as much as I can before I go about ordering online.
post #273 of 442
Coloradomonkeymom-

As I understand it the only consequence of your order getting "caught" is that is is confiscated. I order Dom from http://www.inhousepharmacy.com/ It takes the full 14 days for my shipments to arrive, so if you do order online be aware of that. I was easily able to get my daughters' pediatrician to prescribe it to me, but she could only prescribe it at the "normal" therapeutic dose (10mg) which is much less than most mamas taking it need.(I take 120mg/day) Luckily I was able to get the rx filled. The FDA intimidated most pharmacies out of filling rx's for Domperidone. There's one compounding pharmacy here in Portland that would fill the rx. And oh my dear was it expensive! I have no doubt that the medicine I'm getting from lovely Vanuatu is Domperidone; it works! Best of luck!
post #274 of 442
Thread Starter 
Quote:
Originally Posted by Jezzy View Post
I have been taking dom for awhile now. Anyone know what will happen if I just quit taking it? Will I loose my supply?
It's very possible to have a strong dip in your supply. Most people choose to ramp down slowly when they need / want to stop.
post #275 of 442
I can answer two questions at once!

Quote:
Originally Posted by Jezzy View Post
I have been taking dom for awhile now. Anyone know what will happen if I just quit taking it? Will I loose my supply?
"My question though is what are the consequences of getting "caught" so to speak?"

I inadvertently stopped taking Dom once when customs confiscated my shipment. I was without for 3 weeks waiting for more and my supply went down to almost nothing. It took a long time to get my supply back up when I received my new order.
When it was confiscated, I just got a letter warning me that Dom was not FDA approved, had such n such side effects, etc. I was sent a new shipment from inhouse at no extra charge.
post #276 of 442
Does anyone know how long you can take Domperidone? I've been using it since DS was 5 mo old and now he just turned one. I thought at this point I would be off of it, but I'm afraid my supply will disappear and I'm not ready to wean.
post #277 of 442
Quote:
Originally Posted by Mnkymma View Post
Does anyone know how long you can take Domperidone? I've been using it since DS was 5 mo old and now he just turned one. I thought at this point I would be off of it, but I'm afraid my supply will disappear and I'm not ready to wean.
I would like to know this too! Thanks for asking!
post #278 of 442
Thread Starter 
I've never heard of any long-term effects of using domperidone, or on an extended basis. Here's from Ask Lenore:

http://www.asklenore.info/breastfeed...mperidone.html

Quote:
Are there long-term concerns about the use of domperidone?
The manufacturer states in its literature that chronic treatment with domperidone in rodents has resulted in increased numbers of breast tumours in the rodents. The literature goes on to state that this has never been documented in humans. Note that toxicity studies of medication usually require treatment with huge doses over periods of time involving most or all of the animal's lifetime. Note also that not breastfeeding increases the risk of breast cancer, and breast cancer risk decreases the longer you breastfeed.
As with anything, you have to weight the potential costs, risks and benefits to both you and your LOs-- of both breastfeeding, and NOT breastfeeding / supplementing with formula.
post #279 of 442
Thread Starter 
Here's more info on weaning mom from domperidone:

http://www.drjacknewman.com/help/Dom...20Stopping.asp
post #280 of 442
you can buy it from inhousepharmacy.com, its where most of us get ours.
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