DomHub

 

For both parents and professionals, scientific evidence for the safe and effective use of domperidone for increasing lactation.

 

One of the biggest challenges parents face with initiating and increasing milk production is understanding of and access to the pharmaceutical medication domperidone.  Fortunately, everything you need to know backed by scientific evidence is now at your fingertips....

  

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Domperidone can be an extremely helpful medication. But, it has not been approved by the United States Food and Drug Administration (FDA). As a result, most U.S. prescribing providers will not write a script or even discuss the use of domperidone for lactation.  Without physician and pharmacist support parents may either choose not to use this beneficial medication or use it in an inappropriate or unsafe manner.  The purpose of this course is to provide scientific and clinical information regarding the safe and effective use of domperidone for lactation.

  • When used appropriately, domperidone is effective in significantly increasing milk production.
  • Domperidone is a safe medication for most lactating parents and their babies. Side effects are not serious and usually temporary for lactating parents who do not have contraindications to using domperidone. The amount of domperidone entering the milk of a lactating parent is subclinical when domperidone is taken at recommended dosing.
  • Domperidone is commonly used by lactating parents in developed countries throughout the world. Domperidone is a legal and often over-the-counter medication in most developed countries other than the United States. Lactating parents in the United States commonly obtain and use domperidone.
  • Although no other medication or herb combines the safety and efficacy of domperidone for increasing lactation, alternatives to domperidone are available.

DISCLAIMER: This course does not provide medical advice. The information, including but not limited to, text, graphics, images and other material contained within this course are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read in this course.

DomHub's first module covers in detail the safety and effectiveness of domperidone for lactation:

  • Domperidone effectiveness at increasing milk production

  • Understanding the FDA and other government warnings against domperidone 

  • Domperidone safety for lactating parents

  • Potential side effects

  • Domperidone safety for babies when their lactating parent takes domperidone

  • Use of domperidone in developed countries throughout the world

  • Domperidone compared with FDA-approved medication metoclopramide (Reglan®)

  • Dosage for lactation

  •  When and how to discontinue domperidone safely

  • Ethical issues for lactation consultants

 

The second module is all about how to access domperidone, particularly for those in the United States.

  • Getting a script from your provider
  • How much to order at a time
  • Brand name domperidone (Motilium®) versus generic
  • Obtaining domperidone in the U.S. through a compounding pharmacy
  • In an emergency...getting domperidone quickly
  • Listing of reputable* international online pharmacies selling domperidone 

*Intended mother Paulina ordered domperidone from an online pharmacy not listed in DomHub. This is what she reported back to me...

"I just wanted to let you know that my domperidone finally arrived from [pharmacy name] and everything about it feels sketchy and not like something I want to take. As you may remember, they lost my order completely, then a personal email replied to my query about where the order was and said they would fulfill it. Now this shoddy package arrived 4 weeks late, hand written from Sri Lanka. I have no idea how these pills were stored or shipped, and whether the medications are still viable. I really don't want to use them." 

DomHub encourages members to share their questions and experiences in the comments area of each section. 

This creates a live and growing source of domperidone information and support shared between parents and professionals, in addition to the extensive collection of published research which serves as the foundation for DomHub.

Domperidone may or may not be a good choice for you --- or for your client if you are a lactation or medical professional. Whether or not a parent chooses to use domperidone to support their lactation journey, that decision should be an informed one.

DomHub is an organized database of evidence-based information from dozens of medical and lactation journals, personal communications with physicians and pharmacists, and parent feedback on their experiences.

A note from DomHub developer ALYSSA SCHNELL, IBCLC

"Hello! My name is Alyssa and I have been working as a board-certified lactation consultant since 2009. I have supported thousands of parents to induce lactation, relactate or increase milk production ... oftentimes with the help of domperidone.

And, personally I understand what it is like to make the decision whether or not to use domperidone. I am an adoptive mom who induced lactation using domperidone. At first, I was completely against the idea! I prefer not to use pharmaceutical medications and at the time I started inducing lactation I had not used a non over-the-counter pharmaceutical medication for 15 years. I was naturally very hesitant to use domperidone just like many of you.

The difference between my experience and yours is that I hope you will have so much more information to go on as you make a decision regarding domperidone for your greatest well-being and that of your precious little one."

What parents and professionals are saying about DomHub...

"I have been singing your praises here with my lactation colleagues and our dom prescribers!  Once again, you’ve outdone yourself with this amazing and much-needed resource." -Michelle Finn, MS, IBCLC, PMH-C

"Oh my goodness, how nice to have everything in one place - what a wonderful service you provide!"  -Elissa, intended mother 

"This is an absolutely amazing resource!  It was so incredibly helpful.  It was clear and concise as well.  This will be a great resource for all of us mamas!" -Tegan, prospective adoptive mother

"Alyssa, Thanks so much for ... your domperidone online resource. I’ve really enjoyed working through the modules this morning! Hopefully you’re really proud of all the info you’ve compiled here. I think it will be really useful for both professionals, and parents too. It’s great to have something concise and so evidence based like this, well done."  -Hannah Croft, IBCLC

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download overview pdf for your reference or to share with clients if you are a lactation professional

ask questions or share experiences in comments sections

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...and for professionals: 1-L CERP (Module 1 only)

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