Galactagogues
Introduction Galactagogues are medications or other substances believed to assist initiation, maintenance or augmentation of maternal milk production. The routine use of galactagogues is not recommended because there is Limited evidence to support their efficacy Oral galactagogues (natural therapies or drugs) for increasing breast milk production in mothers of non-hospitalised term infants, 2020 Efficacy and Safety of Domperidone and Metoclopramide in Breastfeeding: A Systematic Review and Meta-Analysis, 2021 Because of potential safety concerns. Domperidone - risk of arrythmias Metoclopramide - CNS adverse effects and risk of tardive dyskinesia Hence, before initiating a galactagogue, women should attempt nonpharmacologic methods of increasing milk production such as Ensuring adequate hydration Skin-to-skin holding with baby Self-breast massage Relaxation techniques Unrestricted frequency and duration of breastfeeding Dosage Regimens The most commonly used prescription agents are dop...