Hello colleagues,
I have a client with high BP. She was on Labetolol and Hydrolozine (sp). She has a critically low milk supply and is pumping for twins. Her doctor took her off of the hydrolozine. How soon after going off the medication should her supply improve? What is the mechanism for the medication suppressing milk supply? She's been pumping rigorously around the clock for 3 weeks with varying results. She went off the meds yesterday and last night felt some engorgement for the first time in one breast only. The other breast doesn't feel milky at all.
Normally I'd suggest Domperidone in this situation, but am concerned because I have no idea how that would work with a mom with an Hx of hypertension and on this medication.
would Goat's Rue be a reasonable alternative for this mom while she's mulling over domperidone? what about fenugreek? I'm getting more and more nervous about fenugreek...
Thanks in advance.
Betsy Hoffmeister, IBCLC, RLC, MPA
I have a client with high BP. She was on Labetolol and Hydrolozine (sp). She has a critically low milk supply and is pumping for twins. Her doctor took her off of the hydrolozine. How soon after going off the medication should her supply improve? What is the mechanism for the medication suppressing milk supply? She's been pumping rigorously around the clock for 3 weeks with varying results. She went off the meds yesterday and last night felt some engorgement for the first time in one breast only. The other breast doesn't feel milky at all.
Normally I'd suggest Domperidone in this situation, but am concerned because I have no idea how that would work with a mom with an Hx of hypertension and on this medication.
would Goat's Rue be a reasonable alternative for this mom while she's mulling over domperidone? what about fenugreek? I'm getting more and more nervous about fenugreek...
Thanks in advance.
Betsy Hoffmeister, IBCLC, RLC, MPA
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