I have a mom who has been dependent on 80 mg/ day to maintain her supply for 8 months.  she tried to wean it down by 20 mg/day but saw decreased output.  She is doing a combo of breast and pumping.  Is it safe to keep taking it at that level until the baby is a year old??
							
						
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long term use of domperidone
				
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 Lact RN:
 
 As long as she is not having symptoms (arrhythmias), it is probably OK to continue this dose. HOWEVER, I strongly suggest that when she decides to wean, that she taper very carefully over a month or more. Otherwise, she personally may have some withdrawal symptoms. I've had one case report of this. Just do it slowly over a month or so.
 
 Tom Hale Ph.D.
 
 

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