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Re: Reglan and breast milkFrom: Meenan, Anna (annam@uic.edu)Wed Jun 6 12:02:13 2007
Just attended a lecture by Dr. Thomas Hale (author of Medications and Mothers Milk) last night. He recommends 10-15 mg TID and should see a response in 24-48 hours. He recommends checking a prolactin level, as if it is over 200, the Reglan will not work. I would draw prolactin level, start metoclopramide at 10TID, increase to 15 TID if no response in 2 days. If your prolactin comes back at over 200 ng'ML, and the med isn't helping, D/C it. Be careful with metoclopramide. As many as 50% of moms who take it for more than 4 weeks will get depressed. An alternative is Domperidone, 20 mg tid, which is not available in the US, but can be made in a good compounding pharmacy or obtained with a scrip sent to a Canadian pharmacy. All the benefits without the side effects. Also, if you do use metoclopramide. taper it by 10 mg q week. Don't stop abruptly. Anna Meenan, MD
>In the past I've prescribed reglan to help improve milk flow...have
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