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hi, im new here (yayayaya) my husband and i are looking to adopt a newborn from overseas and i am currently on metformin due to my insulin resistence issues, my question is, it is safe to take that along with domperidone for breastfeeding?
please help!! i feel completely lost as to where to start and what to do!
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Farah
hi, im new here (yayayaya) my husband and i are looking to adopt a newborn from overseas and i am currently on metformin due to my insulin resistence issues, my question is, it is safe to take that along with domperidone for breastfeeding?
please help!! i feel completely lost as to where to start and what to do!
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I think you should talk to a pharmacologist or pharmacist before combining these two drugs. Domperidone has a compound in it that is very similar to metformin. Sometimes obstetricians will advise pregnant patients who've had trouble breastfeeding in the past to take metformin in order to increase their milk supply.
I just wanted to make sure that you know that, while domperidone can be very useful for increasing milk supply, you don't have to take it, or any other medication, in order to nurse your adopted baby. Most moms who just get a Lact-Aid and start nursing the baby on demand with it will start to produce drops of milk in anywhere from three days to two weeks. Most go on to produce somewhere around half of the milk their babies need. It takes only a small amount of breast milk to provide protection from disease. There are also things like herbs, breast massage, etc., that can help increase milk production. If you want to use a pump to get milk protection started in advance, it is usually necessary to take domperidone. A baby at the breast increases prolactin levels because of an emotional reaction, but pump is not nearly as good at it, so the dom really helps.Regardless of how much milk you produce, it is a wonderful experience to be able to nurture your adopted baby in the same way you would have chosen to if you could have given birth to him/her. Best wishes on your adoption!
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Farah, I'm assuming that you'll need to remain on metformin for your insulin resistance after you bring the baby home. One thing that I think you need to talk to a pharmacist about is the possible effects metformin will have on the baby if you breastfeed. I've read some studies that say the blood glucose levels of breastfed babies aren't significantly affected by metformin, but I've also read a couple studies that say they are.
I am checking with someone who has a new copy of the book, "Medications and Mother's Milk" by Thomas Hale, to see what it says about metformin. It is a highly respected authority on the topic. There are a few drugs that absolutely cannot be used during breastfeeding, but the vast majority are OK. It is a matter of taking everything into account and deciding what is the best. Although no one would argue that it wouldn't be best for the baby to be nursed without the mother taking any medications at all, when the mother needs to be on medication, the benefits of breastfeeding usually far outweigh any small risk from the tiny amount of medication that may get to the baby through the milk. Most drug companies haven't studied the effects of their products on nursing babies, so they will usually urge caution, because they don't know. Many doctors will tell everyone not to breastfeed if they are on medication. They don't take into account the benefits of breastfeeding. When my Thomas was six months old, I was diagnosed with myofascial syndrome and told to start on amitriptyline. The doctor said I would have to stop breastfeeding. I wasn't willing to do that, so he said I would have to wait to start treatment until I was done breastfeeding. I called a friend of mine who was a LC and found out that amitriptyline is considered to be one of the safest. It was a good thing, because we adopted three more babies after Thomas and I was nursing someone for the next eight years!
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