Metoclopramide
Metoclopramide
Metoclopramide (commonly referred to as Reglan) is a medication commonly used to treat gastrointestinal issues like nausea, vomiting, and delayed gastric emptying. It is also sometimes prescribed to increase milk supply in breastfeeding mamas by stimulating prolactin production, a hormone that promotes milk production.
What to watch out for
It’s important to recognize how metoclopramide affects your body and to be aware of potential side effects. Here are some considerations and tips:
- Milk supply: Metoclopramide can help increase milk supply, especially for mamas who have had difficulty producing enough milk. It is typically used for a short period and under the guidance of a healthcare provider.
- Dosage: Follow the prescribed dosage carefully. It is usually taken three times a day for a specific duration as determined by your healthcare provider.
- Side effects: Be aware of potential side effects, which can include fatigue, dizziness, headache, and gastrointestinal issues. In some cases, metoclopramide can cause more serious side effects like depression or involuntary muscle movements (tardive dyskinesia). Because many postpartum moms are already prone to depression, consider discussing the possibility of this side effect before starting this medication with your healthcare provider.
To manage the use of metoclopramide, consider these tips:
- Consult your healthcare provider: Always discuss the use of metoclopramide with your healthcare provider to ensure it is safe and appropriate for you.
- Monitor side effects: Keep track of any side effects you experience and report them to your healthcare provider promptly.
- Combine with other methods: Use metoclopramide in conjunction with other milk-boosting strategies, such as frequent breastfeeding or pumping, proper hydration, and a balanced diet. Effective and frequent milk removal is the best way to promote a full milk supply.
Physical limitations or health circumstances
Certain conditions can influence the use of metoclopramide:
- Depression or anxiety: If you have a history of depression or anxiety, metoclopramide may exacerbate these conditions. Discuss this with your healthcare provider. Learn more about postpartum depression here.
- Gastrointestinal issues: While metoclopramide is used to treat gastrointestinal issues, it can also cause side effects like diarrhea or constipation in some moms.
- Neurological conditions: Metoclopramide can cause side effects related to the nervous system, such as involuntary movements, which can be problematic for individuals with certain neurological conditions.
Other terms
Understanding related terms can help you better manage the use of metoclopramide and related breastfeeding challenges:
- Prolactin: A hormone that stimulates milk production in breastfeeding mamas.
- Galactagogue: A substance that promotes lactation in humans and other animals. Some common ones include goat’s rue, moringa, and fennel.
- Tardive dyskinesia: A potential side effect of metoclopramide involving involuntary muscle movements, usually of the face and jaw.
- Lactation consultant: A professional who can provide support and guidance on breastfeeding issues, including the use of medications to increase milk supply.
- Gastrointestinal motility: The movement of the digestive system and the transit of the contents within it.
