AI Article Synopsis
- Poor breast milk production is the leading cause of lactation failure, often addressed with medications like galactogogues, but should only be used when treatable causes are ruled out.
- Commonly prescribed galactogogues include drugs such as metoclopramide and domperidone, especially for mothers using indirect lactation after preterm births.
- The review examines the effectiveness, side effects, and dosing recommendations of both pharmaceutical and herbal galactogogues, focusing on their impact on breastfeeding.
Article Abstract
Poor production of breast milk is the most frequent cause of breast lactation failure. Often, physician prescribe medications or other substances to solve this problem. The use of galactogogues should be limited to those situations in which reduced milk production from treatable causes has been excluded. One of the most frequent indication for the use of galactogogues is the diminution of milk production in mothers using indirect lactation, particularly in the case of preterm birth. The objective of this review is to analyze to the literature relating to the principal drugs used as galactogogues (metoclopramide, domperidone, chlorpromazine, sulpiride, oxytocin, growth hormone, thyrotrophin releasing hormone, medroxyprogesterone). Have been also analyzed galactogogues based on herbs and other natural substances (fenugreek, galega and milk thistle). We have evaluated their mechanism of action, transfer to maternal milk, effectiveness and potential side effects for mother and infant, suggested doses for galactogogic effect, and recommendation for breastfeeding.
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| http://dx.doi.org/10.18433/j3ds3r | DOI Listing |
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