How Does Domperidone Affect Breast Milk Production?
Domperidone (motillium) is used for gastrointestinal disorders, is generally considered safe for nursing mothers, and is even prescribed to infants for reflux. It probably works by increasing levels of the hormone prolactin, which stimulates milk production in the early weeks of breastfeeding. While the normal dosage is 30 mg per day, a much larger dose must be taken in order to create the desired effect of boosting milk production—between 90-120 mg per day. Some professionals will even prescribe a maximum dose of 160 mg per day. Many women find the resulting boost in milk production to be extraordinary, although it can take up to six weeks to receive the full effect. The side effects of domperidone can include headaches, abdominal cramps, dry mouth, and cessation of menstruation. Anecdotally, women also report experiencing mild joint stiffness and loss of libido. Domperidone is not FDA-approved and therefore not available in the United States, but it can be obtained in many other coun
