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Talk to your doctor before taking any prescription or
nonprescription medicine while breast-feeding. Some medicines that enter the breast
milk may harm your baby. But many medicines are safe to use while
breast-feeding, including certain pain relievers, antibiotics, antidepressants,
anticoagulants, and endocrine medicines (such as insulin). Consider the
following before taking medicines while breast-feeding:
Talk to your doctor about temporarily discontinuing
breast-feeding if you must take a medicine that is not safe for your baby. If
you are going to take this medicine in a single dose or for a relatively
short time (1 or 2 weeks), bottle-feed formula to your baby, but keep up your
milk supply by pumping your breasts and discarding the milk. When the
medicine has left your system, you can go back to breast-feeding your
Although domperidone is available in some countries for intestinal
problems, this medicine is not approved for any use in the United States.
Domperidone can increase a breast-feeding woman's milk supply. For this reason,
some women obtain the medicine. The U.S. Food and Drug Administration (FDA)
warns breast-feeding women not to take domperidone because of its potential
dangerous side effects (such as irregular heartbeat and sudden death). Also,
the drug has unknown effects on the breast-feeding infant.1
Some breast-feeding women try herbal remedies for problems, such as
to increase milk supply. Common herbs used for these purposes include
fenugreek, fennel, or various herbal teas. As with any medicines, do not take
herbs without first talking with your doctor. The effects of
most herbal remedies on babies are unknown. Some experts advise that some herbs
(including fenugreek, fennel, comfrey leaf, and borage) may harm the baby.
Herbs may also cause allergic reactions in the mother or the baby.
With herbal teas or preparations, even more caution is needed,
because the strength of an herbal tea or product depends upon how it is
prepared. The actual amount of an herb consumed is very hard to predict or
U.S Food and Drug Administration (2004). FDA warns
against women using unapproved drug, domperidone, to increase milk production.
FDA Talk Paper T04-17. Available online:
Current as of:
June 4, 2014
Sarah Marshall, MD - Family Medicine & Kirtly Jones, MD - Obstetrics and Gynecology
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