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Just saw this link on Lactnet, of pharmacies that will sell domperidone here in the USA: [url=http://www.pharmacychecker.com/compare-drug-prices-online-pharmacies/Domperidone-10+mg/18710/30515/]Compare Domperidone Prices on PharmacyChecker.com[/url]
If I understand correctly, the pharmacies that list the USA as a country they work with, you can order it, with a prescription from your doctor.
Here is a list of some good articles on domperidone, if someone has a doctor who is concerned about prescribing it.
[url=http://www.pharmacychecker.com/compare-drug-prices-online-pharmacies/Domperidone-10+mg/18710/30515/]Compare Domperidone Prices on PharmacyChecker.com[/url]
Just briefly, here is a little bit about the effects of domperidone use in adoptive mothers who was to breastfeed:
Domperidone is helpful, but not essential in order to breastfeed an adopted baby. My own personal experience was well within the average range for women who just started nursing their babies on demand, using the Lact-Aid (or in some case SNS) to provide supplement at the breast, so I will use it as an illustration. As usually happens, I started producing milk after just a few days, and, although I had to continue to supplement at least until my kids were on other foods and liquids, I produced a significant percentage of the milk they needed.
In the 30 years that I have been involved with this issue, I have heard or read about, or been in direct contact with, hundreds of adoptive mothers who have had an interest in breastfeeding. I have never heard of anyone who had previously been through a pregnancy who did not produce some amount of milk, just from the suckling stimulation. There are a few women who have never been pregnant who do not produce milk after suckling their adopted babies on demand, for long periods of time; probably somewhere between 5-10%. Of those few who later took domperidone, I have never heard of one who did not start to produce some amount of milk.
Domperidone greatly improves output from pumping in advance of placement of an infant, and it generally allows adoptive moms to provide a larger percentage of their babies' milk needs. In some cases, it allows the adoptive mother to provide all of the milk her baby needs.
A similar drug, metoclopramide (Reglan) is in use in the USA. It is known to increase prolactin levels and milk production in adoptive mothers, although not as much as domperidone. However, it is NOT recommended, due to an extremely high rate of adverse effects, primarily depression and/or anxiety, which can be severe and take months to reverse.
If anyone has any questions that I might be able to help with, feel free to ask. My own experience with domperidone is limited, however I belong to an email list that includes many lactation consultants from all over the world, many of whom have extensive experience with the use of domperidone to enhance lactation in moms who have low supply issues for a wide variety of reasons. I could post any specific questions on the list and probably get some good feedback.
I hope this is helpful!
Darillyn
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I just realized that didn't get the other link posted as I intended. My the left button on my mouse is dying and sometimes doesn't click when I think it has, or double clicks when I don't want it to.Here is one good article: [url=http://pediatrics.about.com/cs/breastfeeding/a/domperidone.htm]Breastfeeding: Domperidone to Increase Milk Production[/url] It also speaks of the US Food and Drug Administration says about it. No one can figure out why they are refusing to back it and telling people it is dangerous. There have been a few deaths, but they were not associated with lactation. The patients were very ill and were being given the drug intravenously, at much higher dosages than is ever taken orally. Domperidone has been used extensively to improve lactation in other countries, for decades. Still, it is prudent to consider the fact that the vast majority of moms who just nurse their adopted babies on demand with the Lact-Aid produce milk; usually a significant amount, which on the average is somewhere around half of the baby's total nutritional needs, and more than enough to provide immunological benefits. Many moms are able to stop using the Lact-Aid after the baby is taking other foods and liquids, if their babies will cooperate! Some babies are very particular and insist on having it there, even when they don't really need it any more, and it isn't necessarily connected with the amount of milk their mothers are producing. I knew of a baby whose adoptive mom got pregnant a month or so after placement. She nursed him with the Lact-Aid, all the way through her pregnancy. Even after she had given birth, and was producing tons of milk, he refused to nurse without the Lact-Aid!Domperidone also makes it possible for most moms who would like to pump in advance of placement to be producing some milk beforehand, and get some amount saved up in the freezer. Without it, most don't get more than drops until after the baby is placed.Another time that it may be especially wise to try domperidone is in women who do not start producing any milk, after nursing on demand with the Lact-Aid for a significant amount of time. There are a few who don't, despite having the baby latched and suckling well. No one knows why, but I haven't heard of anyone who fell into that category and then got on domperidone, at some point, who did not start producing milk. So, I'm not really recommending that moms take it, just that they learn about it and make their own decisions. Since situations with adoption vary so much, and different women's responses to attempts to induce lactation do too, it isn't possible to make a blanket statement about what is the best way to go about it. You just have to learn about it, consider all aspects of your personal situation, and decide what to try.It is also essential to remember that, even if a baby is receiving all of his/her nutrition from the Lact-Aid, he/she is getting the same nurturing as any breastfeeding baby. I would have nursed my kids, even if I hadn't produced milk, and have known many moms who have said that. That's including a couple who didn't produce any milk, but felt that it was such a wonderful experience that they kept doing for a long time. Well, I didn't really intend to write that much, but I will get back to suggesting articles. Here is a good one on induced lactation, in general;[url]http://www.jabfm.org/content/19/4/374.full[/url]There are quite a few others. Dr. Thomas Hale, author of "Medications and Mothers' Milk" is currently doing some studies on the use of it in lactation. It has apparently obtained "orphan drug" status, which means that the FDA will consider approving it for use here, or at least that's what I understand.Darillyn StarrPS,I don't always come to this site real often, so if someone has any questions they would like to ask, you may contact me through my email, noelani54@hotmail.com I am also on Facebook and you may leave a message there, if you have specific questions, or just need encouragement.
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I just realized that didn't get the other link posted as I intended. My the left button on my mouse is dying and sometimes doesn't click when I think it has, or double clicks when I don't want it to.Here is one good article: [url=http://pediatrics.about.com/cs/breastfeeding/a/domperidone.htm]Breastfeeding: Domperidone to Increase Milk Production[/url] It also speaks of the US Food and Drug Administration says about it. No one can figure out why they are refusing to back it and telling people it is dangerous. There have been a few deaths, but they were not associated with lactation. The patients were very ill and were being given the drug intravenously, at much higher dosages than is ever taken orally. Domperidone has been used extensively to improve lactation in other countries, for decades. Still, it is prudent to consider the fact that the vast majority of moms who just nurse their adopted babies on demand with the Lact-Aid produce milk; usually a significant amount, which on the average is somewhere around half of the baby's total nutritional needs, and more than enough to provide immunological benefits. Many moms are able to stop using the Lact-Aid after the baby is taking other foods and liquids, if their babies will cooperate! Some babies are very particular and insist on having it there, even when they don't really need it any more, and it isn't necessarily connected with the amount of milk their mothers are producing. I knew of a baby whose adoptive mom got pregnant a month or so after placement. She nursed him with the Lact-Aid, all the way through her pregnancy. Even after she had given birth, and was producing tons of milk, he refused to nurse without the Lact-Aid!Domperidone also makes it possible for most moms who would like to pump in advance of placement to be producing some milk beforehand, and get some amount saved up in the freezer. Without it, most don't get more than drops until after the baby is placed.Another time that it may be especially wise to try domperidone is in women who do not start producing any milk, after nursing on demand with the Lact-Aid for a significant amount of time. There are a few who don't, despite having the baby latched and suckling well. No one knows why, but I haven't heard of anyone who fell into that category and then got on domperidone, at some point, who did not start producing milk. So, I'm not really recommending that moms take it, just that they learn about it and make their own decisions. Since situations with adoption vary so much, and different women's responses to attempts to induce lactation do too, it isn't possible to make a blanket statement about what is the best way to go about it. You just have to learn about it, consider all aspects of your personal situation, and decide what to try.It is also essential to remember that, even if a baby is receiving all of his/her nutrition from the Lact-Aid, he/she is getting the same nurturing as any breastfeeding baby. I would have nursed my kids, even if I hadn't produced milk, and have known many moms who have said that. That's including a couple who didn't produce any milk, but felt that it was such a wonderful experience that they kept doing for a long time. Well, I didn't really intend to write that much, but I will get back to suggesting articles. Here is a good one on induced lactation, in general;[url]http://www.jabfm.org/content/19/4/374.full[/url]There are quite a few others. Dr. Thomas Hale, author of "Medications and Mothers' Milk" is currently doing some studies on the use of it in lactation. It has apparently obtained "orphan drug" status, which means that the FDA will consider approving it for use here, or at least that's what I understand.Darillyn StarrPS,I don't always come to this site real often, so if someone has any questions they would like to ask, you may contact me through my email, noelani54@hotmail.com I am also on Facebook and you may leave a message there, if you have specific questions, or just need encouragement.