Bloody GP

[RavenHairedPrincess]

Just looking for some advice on whether I can complain or something, I don't really know I'm just banging my head against a brick wall.

As some of you may know I have been having problems upping my supply in the afternoons and after trying everything else my BF councellor suggested I may benefit from domperidrone (sp?) as I am determined to keep BF if possible.

So I went to the GP last night to ask for a prescription and basically she refused and told me just to give formula, I explained my situation and the advice she gave was ridiculous, she went on to tell me that when she breastfed she just ate lots of nuts and drank a lot of milk and it improved her supply and refused to give me chemicals that will be passed onto the baby, even though I did question why chemicals through breastmilk was worse then chemicals in formula as surely the pros of immunity etc out weigh the cons?

However she did give me a list of side effects to back up her refusal so I can kind of see why but I was under the impression that it is fairly safe to take, am I wrong?
I'm really at a loss on what to do now as I don't want to give a bottle yet and I have tried to up my supply with every other method, so one last shot is asking you guys.
Please help.

I don't know. It's just for afternoons? Have all avenues been tried?
Have you told that BF counsellor? What's she said?

Anyone who suggests eating nuts and drinking milk to increase milk supply is clearly lacking some basic bfing knowledge.

Sorry you're having problems though. I'm afraid I've no experience of domperidone but others will be along who have. I tried fenugreek tablets and that seemed to work although it was combined with other methods to boost supply.

Not seen your other post I'm afraid but why do you think your supply is dropping in the afternoon?

I think you should demand a second opinion. Her knowledge of BF is obviously shit lacking, or she wouldn't have come out with that claptrap about nuts and milk. So I think you could go back to her and say that because of this poor advice (which I'm pretty sure is not in the NICE guidelines or any part of her training) you would like a second opinion. She may back down.

Thanks for your reply, it is just the afternoons I'm really struggling with as she will feed and then start fussing because she can't get enough and she will not settle at all, I have tried breast compressions, pumping, skin to skin and just letting her suckle to help stimulate me into making more.
Nothing seems to be helping, I also explored the possibilty of it just being wind but I can sit there for ages bring it all up and she still wont settle even after offering both breasts again.

If you and the BF counsellor feel domperidone is the best option, I would suggest arming yourself with some evidence of the effectiveness of domperidone (your BF counsellor should help with this) and seeing a different GP in the practice. You don't need to ask the first GPs permission for a second opinion.

Breastfeeding network has this to say about domperidone

Crikeybadger, I'm not sure why the afternoons seem to be the problem, one possibilty is that I am tired and can't relax, I have two toddlers as well and I am on my own in the day so I don't have a chance to relax, as much as I try.

Can't you buy it from the pharmacy over the counter as movicol? Disclaimer - this info is from overheard convos at toddler group and not to be taken as scientific fact.

toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT is pretty reassuring about the effect on the baby - less than 0.1 per cent of maternal dose reaching the baby sounds pretty low to me :)

Movicol is used to help you go to the toilet I think you mean Motilium.

Motilium I think - movicol is a laxative.

Further to what tiktok has said my baby was actually prescribed domperidone at 6 wks old so it can't be toxic to them. PS I think its motilium not movicol that you can buy OTC (although it might be the same thing!)

Heheh X -posts. Although domperidone does make DS go to the toilet more it is made of different stuff to movicol - and you can buy MOTILIUM over the counter. Sorry.

Thank you I will look into Motilium when I go into town, any idea on cost for it?

I managed to get a prescription for domperidone from my GP but unfortunately it didn't make any difference to my supply, although I know it has worked for a lot of other people. When I saw my GP I had a letter from the lactation consultant detailing everything we had tried to improve supply and it also included lots of supporting liturature on domperidone use. You can buy it from Boots and other pharmacies but its about £5 for 10 tablets so can get pretty expensive as you can end up taking several tablets a day.