Dear Irene,

I recommend investing in a call to Rodney Whyte, head pharmacist, drug
information centre, Monash Medical centre in Melbourne Ph (03) 9594 2361

Where I work maxalon is prescribed very readily.  While I'm not medically
trained, both drugs work by elevating the prolactin levels.  To my way of
thinking, it they are  not a substitute for correct attachment and frequent
draining of the breast. (situations when it is sometimes prescribed) Another
effective way of elevating prolactin is skin to skin contact.  It seems to
me that domperidone is more common in the USA and maxalon here.  I have
occasionally had mothers who have taken maxalon and it has made them sleepy
and queasy.  (often they get to the doctor before they get to the LC)  A
mother I saw who breastfed her adopted baby found domperidone very useful.
In practical terms, the dosage rates mean that you have to take a lot of
domperidone tablets, lots of times a day.  I believe domperidone is also the
more expensive (considerably) option

Anyway, those are my experiences.  Give Rodney a call

Love, Barb (IBLC)

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