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Domperidone has no officially established dosage for increasing milk supply, but most published studies have used 10 mg three times daily for 4 to 10 days (30 mg per day). [36] The US Food and Drug Administration (FDA) has expressed concerns about serious adverse side effects and concerns about its effectiveness. [34]
Whereas D 2 receptor agonists suppress prolactin secretion, dopamine D 2 receptor antagonists like domperidone and metoclopramide have the opposite effect, strongly inducing the pituitary secretion of prolactin, and are sometimes used as prolactin releasers, for instance to correct hypoprolactinemia (low prolactin levels) in the treatment of lactation failure. [2]
Synthetic galactagogues such as domperidone and metoclopramide interact with the dopamine system in such a way to increase the production of prolactin; specifically, by blocking the D 2 receptor. [3] There is some evidence to suggest that mothers who are unable to meet their infants' breastfeeding needs may benefit from galactogogues.
[102] [103] A Cochrane review looked at the drug domperidone (10 mg three times per day) with results showing a significant increase in volume of milk produced over a period of one to two weeks. [104] However, another review concluded little evidence that use of domperidone and metoclopramide to enhance milk supply works.
High levels of prolactin during pregnancy and breastfeeding also increase insulin resistance, increase growth factor levels (IGF-1) and modify lipid metabolism in preparation for breastfeeding. During lactation, prolactin is the main factor maintaining tight junctions of the ductal epithelium and regulating milk production through osmotic balance.
Breast, bottle, whatever: How You Feed is a shame-free series on how babies eat. Ten years ago, Time magazine's cover featured mom Jamie Lynne Grumet with her 4-year-old son nursing while standing ...
Prolactin has a wide variety of effects. It stimulates the mammary glands to produce milk (): increased serum concentrations of prolactin during pregnancy cause enlargement of the mammary glands and prepare for milk production, which normally starts when levels of progesterone fall by the end of pregnancy and a suckling stimulus is present.
Even a dog food sold to promote dental health by reducing plaque has as its main ingredient the cheap carbohydrate filler brewers' rice, plus corn and powdered cellulose (wood pulp) (3).