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

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 dopamine receptor antagonists, primarily metoclopramide and domperidone.

    Dosage in most published studies

    • Domperidone
      • 10 mg 3 times daily for 4 to 10 days.
    • Metoclopramide
      • 10 mg 2 or 3 times daily for 7 to 14 days.



    Herbs

    Data on the use of herbal galactagogues are even more limited.

    • Fenugreek is the most widely used herbal agent. Of note, it can affect the international normalized ratio (INR). Hence, women who are taking warfarin may be wise to avoid use of fenugreek.
    Adverse Effects of Herbs used as Galactagogues



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