Canadian Breastfeeding Foundation

When is it appropriate to use domperidone?

Domperidone must never be used as the first approach to correcting breastfeeding difficulties. Domperidone is not a cure for all things. It must not be used unless all other factors which may result in insufficient milk supply have been dealt with first.

These other factors include:

  1. correcting the baby’s latch, so that the baby can obtain. as efficiently as possible, the milk which the mother has available. Correcting the latch may be all that is necessary to change a situation of “not enough milk” to one of “plenty of milk”.
  2. using breast compression to increase the intake of milk.
  3. using milk expression after feedings to increase the supply.
  4. correcting sucking problems, stopping the use of artificial nipples, using a Lactation Aid, and Finger Feeding and other stratagems.

Using domperidone for increasing milk production

Domperidone works particularly well to increase milk production under the following circumstances:

Domperidone still works, but often less dramatically when: