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Thoughts on motilium?
I have been using motilium daily for a few months now. Twice I have tried coming off the pills, but it really decreases my supply. Went to the Dr yesterday and he said to come off them as she is almost at 6 months and food will start to overtake. But I remember from my first, she still had a fair few bottles a day up until 12 months? So with that in mind I want to keep my supply up. Is long term motilium use bad?
I must add DH asked me is it worth breastfeeding if you have to take a drug to do so? I know what he means and its playing on my mind. But I dont want to stop yet.
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My LC has had women on it for ages, but under her care. Are you slowly reducing the dosage? or just stopping cold turkey? When coming off it (I was on 8 tabs/day) it was 1 tab at a time spread over the day, if that makes sense? That plus weigh-ins weekly with the MCHN were what I was supposed to do, but as we were supp feeding with formula it really didn't help much with weekly weighins. :hug:
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I'm not totally sure, they say it is safe, and I took it with my DD until she was 6mths old, and she seems fine now, at 4!! We were still combination feeding with some formula, but mostly BM, but if I went off the motilium, my supply dropped really dramatically, no matter how slowly I tried to do it, or how much I tried to increase my supply in other ways. But, for me, I wasn't terribly comfortable with having to take drugs to have enough milk to still only partially feed my baby. It didn't seem to be helping me for the longer term since I couldn't wean myself off it and still have a decent enough supply (itms!). So I decided to stop taking it when she was on solids properly as in 3 meals a day (about 6 1/2 mths as she started solids at about 5 1/2mths). I still offered her booby, though she was mostly formula fed afterwards, and as it happened, I ended up pg again when she was 7mths old and she wouldn't have a bar of boobies after that anyway!
Good luck with your decision. I know how tough it is.
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Motillium is completely safe for long term use. It is actually a drug used for stomache complaints but has a nice side effect of causing lactation (which is why we take it). People stay on motillium for years and years, so don't panic.
Your Dr is a jerk- you can breastfed for along as you like. If your Dr won't prescribe you motillium contact your local lactation nurse and hopefully she can guide you to a Doctor who will.
Good luck
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Motillium can be longterm. However, whether it's necessary is another matter. Motillium works by increasing your prolactin levels.
In the third trimester of pregnancy prolactin levels are at their highest. But progesterone produced by the placenta stops it from working. When the placenta is delivered your body starts making milk, driven by the high levels of prolactin. So early milk production is driven by high prolactin levels. Over time, the mechanism that controls your milk supply changes. Over the course of the first months your prolactin levels go back to a pretty normal/low level, but your baby's frequent feeding drives supply. Prolactin levels tend to peak about 30 mins after a feed. So, in the long run your prolactin levels don't need to be high. In the early days your prolactin levels may drop prematurely if you are separated from your baby (if your baby is prem or sick) or if are not able to feed the baby at the breast very often, or use a pump. She's only 5 months old now. It may be that later on after she starts solids at 6 mnths, you could try reducing the motillium. See how it goes. Some women (often mums who breastfeed adopted children) take motillium for the whole course of their lactation. The website Low Milk Supply -- Providing Information and Support to Breastfeeding Mothers has some good inormation