photo of Lenore Goldfarb
The Newman-Goldfarb Protocols for Induced Lactation, a guide for maximizing breast milk production
The Newman-Goldfarb protocols were developed from information published in Dr. Newman's book "Dr. Jack Newman's Guide to Breastfeeding"
(Harper-Collins, 2000). In the US the title is "The Ultimate Breastfeeding Book of Answers" by Dr. Jack Newman (Prima Publishing, 2000).

BREASTFEEDING BASICS

BREASTFEEDING AND HEALTH

ADOPTIVE BREASTFEEDING

NEWMAN-GOLDFARB PROTOCOLS FOR INDUCED LACTATION

Introduction to Induced Lactation

Introduction to the Protocols

Medical Conditions and the Protocols

Medications and Herbs

Domperidone
Frequently Asked Questions

-What is domperidone

When to Use domperidone

Side Effects

Long-Term Concerns

Using domperidone

How Long

Before Using domperidone

Additional Information

General Information

Birth Control Pills

Herbs

Medical Conditions and the Protocols

Breastfeeding Your Adopted Baby

Frequently Asked Questions

Additional Information

 

WHEN YOUR CHILD
NEEDS EXTRA CARE

ISSUES AND CONCERNS

BREASTFEEDING MYTHS

INTERESTING QUOTES

ADDITIONAL RESOURCES

CHINESE ARTICLES

Domperidone Frequently Asked Questions

Introduction

Domperidone (Motilium™) is a drug that has, as a side effect, stimulating or increasing milk production, probably by increasing prolactin production by the pituitary gland. Prolactin is the hormone that stimulates the cells in the mother's breast to produce milk. Domperidone increases prolactin secretion indirectly, by interfering with the action of dopamine, whose action is to decrease the secretion of prolactin by the pituitary gland. Domperidone is generally used for disorders of the gastrointestinal tract (gut) and has not been released in Canada for use as a stimulant for milk production. This does not mean that it cannot be prescribed for this reason, but rather that the manufacturer does not back its use for increasing milk production. However, there are several studies that show that it works to increase milk production and that it is safe. It has been used, for several years, in small infants who spit up and lose weight, but was replaced until a few years ago by cisapride (Prepulsid™). Cisapride has since been taken off the market because it can cause serious cardiac problems. Domperidone is not in the same family of medication as cisapride and has never had the cardiac side effects that cisapride does. Another, related, but older medication, metoclopramide (Maxeran™), is also known to increase milk production, but it has frequent side effects which have made its use unacceptable for many nursing mothers (fatigue, irritability, depression). Domperidone has many fewer side effects because it does not enter the brain tissue in significant amounts (does not pass the blood-brain barrier).
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Newman-Goldfarb Protocols. © Lenore Goldfarb, B.Comm, B.Sc, IBCLC
and Jack Newman, MD FRCPC, November 2002
printer print the domperidone FAQ • print the Newman-Goldfarb protocols

If you value this service, kindly consider a donation to the Canadian Breastfeeding Foundation (registered charity) and earmark the donation for the Newman Breastfeeding Clinic and Institute and/or the Goldfarb Breastfeeding Program.

You can donate through their website, canadianbreastfeedingfoundation.org, or by mail to Canadian Breastfeeding Foundation, 5764 Monkland Ave, Suite 424, Montreal, Quebec, Canada, H4A 1E9.

Disclaimer: All material provided in asklenore.info is provided for educational purposes only. Consult your physician regarding the advisability of any opinions or recommendations with respect to your individual situation.

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