Reglan for Boosting Breast Milk Supply: Should You Try It?

Breastfeeding is supposed to come naturally, but let’s be real—it can be really tough. I’ve found that the first few weeks can be a whirlwind. You might face everything from latch issues to sore nipples to worrying about whether you’re making enough milk. A low milk supply can feel especially scary. It leaves many of us moms searching for something—anything—that might help. One thing I’ve heard some doctors suggest is Reglan (metoclopramide). But is it the right move for you? Does reglan increase milk supply? Is Reglan for breast milk supply safe? Here’s my take on using Reglan to boost milk production and what you should think about before deciding.

The Struggles of Low Milk Supply

A low milk supply can be heartbreaking. You’re doing everything right—nursing all the time, drinking tons of water, and trying your best to stay calm. But your baby still seems hungry. I’ve been there, and I know so many other moms who have felt that same pressure. I get why some of us might consider Reglan. It’s a prescription drug usually for stomach problems, but it can help with milk production.

Also Read: Why Breast Milk Supply Drop Suddenly? 10 Things You Should Do

How Reglan Works for Breastfeeding

Reglan (or metoclopramide) works by blocking a chemical in the brain called dopamine. This lets prolactin levels rise, which is the hormone that tells your body to make more milk. I’ve heard from Dr. Christine Masterson, who is the chief of the women and children’s service line at Summit Medical Group in New Jersey. She says some women notice a big increase in milk supply with Reglan. Some moms report their milk production goes up by 50 to 100 percent. So, yes, it can be a big deal.

How Long Does It Take Reglan to Increase Milk Production?

A common question is, “How long until I see a difference in my milk supply with Reglan?” The answer varies. I’ve heard from some moms who notice a change in just a few days to a week. Others might take a bit longer. It’s really important to be patient. Stay in touch with your doctor during this time to keep an eye on how things are going.

When Might Reglan for Breast Milk Supply Be Appropriate?

Even with risks, there are times when Reglan might make sense. Women with naturally low prolactin levels, those who’ve had breast surgery, or women with breast hypoplasia might see some benefits. Adoptive moms who want to breastfeed might also consider it. But, of course, it’s super important to talk it over with your doctor to weigh the pros and cons.

The Risks of Using Reglan for Lactation

The idea of taking a pill to boost your milk supply can really be tempting. But using Reglan isn’t without its downsides. For starters, using Reglan for milk production isn’t something that’s been thoroughly studied. There aren’t clear guidelines for its use in breastfeeding. The dose typically prescribed can pass into your breast milk, which might lead to side effects for your baby, like gas or an upset tummy.

For moms, the side effects can be even more concerning. These include things like headaches, feeling tired, dry mouth, and stomach issues. What actually worries me is that Reglan has been linked to anxiety and depression. This is especially scary if you’re already dealing with postpartum mood swings.

Dr. Christine Masterson, Chief of the Women and Children’s Service Line at Summit Medical Group in New Jersey, mentioned that the amount of the drug in your baby’s blood can be as high as 10 percent of your dose. This could lead to changes in your baby’s bowel movements or discomfort. And for us moms, the risk of getting more anxious or depressed is something we have to think about, especially in those fragile postpartum months.

“Metoclopramide turns off a chemical in the brain called dopamine, which allows for prolactin elevation,” says Dr. Masterson. “It can vary tremendously in how effective it is for breastfeeding, though some patients may receive a 50 to 100 percent increase in milk supply.”

Lactation consultant Leigh Anne O’Connor, IBCLC, echoes these concerns.

“I have seen too many women experience symptoms of anxiety and depression while taking metoclopramide to feel comfortable recommending it to my patients.”

Does Milk Supply Stay Up After Reglan?

One thing I’ve wondered about—and I know other moms do too—is whether your milk supply stays up after you stop taking Reglan. Unfortunately, it’s not a simple answer. For some moms, once breastfeeding is going smoothly, their milk supply might stay steady even after stopping the medication. But others might notice a drop in milk production once they’re off the drug. That’s why it’s so important to have a plan with your doctor to keep your milk supply up when you stop taking Reglan.

Domperidone vs Metoclopramide for Milk Production

In some places like Canada, doctors prescribe domperidone instead of metoclopramide to help with milk supply. Domperidone isn’t approved for sale in the U.S. because of concerns about side effects. But some moms find it to be a better option. If you’re trying to decide between Domperidone and metoclopramide, it’s really important to talk to a lactation consultant or your doctor. They can help you figure out what’s best for you.

Balancing Benefits and Risks

When you’re thinking about Reglan to increase milk supply, you have to weigh the potential benefits against the risks. The possibility of making more milk can be a huge relief. But you can’t ignore the potential side effects for you and your baby. The risk of worsening anxiety or depression is particularly scary. Many of us are already so vulnerable during the postpartum period.

For some moms, the benefits might be worth it, especially if they’ve tried everything else to increase their milk supply. But for others, the risks might just be too high. At the end of the day, this is something you really need to discuss with your doctor. They know your situation best.

Alternatives to Using Medications for Boosting Milk Supply

If the idea of taking Reglan doesn’t sit well with you, there are other things you can try. I’ve found that working with a lactation consultant can be incredibly helpful. Sometimes, what looks like a supply issue could actually be something else, like a bad latch or not feeding often enough.

Staying well-nourished, hydrated, and rested is also key. And having a supportive group of people around you who understand breastfeeding can make a big difference. For some moms, a full evaluation from an International Board Certified Lactation Consultant (IBCLC) can give you the guidance you need to boost your supply without medication.

Who Cannot Take Reglan?

Reglan (metoclopramide) can help some mothers increase their milk supply, but it is not right for everyone. There are certain groups of people who should avoid Reglan because of potential risks. Here’s a look at who should not use Reglan:

1. Individuals with a History of Depression or Anxiety
Reglan might make symptoms of depression and anxiety worse. If you are already dealing with mood changes after childbirth or have a history of mental health issues, Reglan could aggravate these problems. It is important to talk to your healthcare provider about other options.

2. Those with Gastrointestinal Issues
If you have existing gastrointestinal conditions, like bleeding or obstructions, you should avoid Reglan. The medication can increase the risk of more gastrointestinal problems and may not be safe for those with pre-existing issues.

3. Individuals with Parkinson’s Disease
Reglan can cause or worsen movement disorders. This is especially concerning for people with Parkinson’s disease. Reglan affects dopamine levels in the brain, which can interfere with motor control and make Parkinson’s symptoms worse.

4. Pregnant or Breastfeeding Women with Certain Conditions
Reglan is used by some breastfeeding mothers, but its safety needs careful consideration. Women who have certain health conditions or are taking other medications that might interact with Reglan should avoid using it. Always consult your healthcare provider to weigh the risks and benefits.

5. Individuals with Allergies to Metoclopramide
If you are allergic to metoclopramide, you should not take Reglan. Allergic reactions can range from mild symptoms to severe conditions that need immediate medical help.

6. Those with Certain Medical Conditions
If you have severe liver or kidney problems, be cautious with Reglan. The medication is processed by the liver and kidneys. Significant issues with these organs can affect how Reglan is broken down and eliminated, increasing the risk of side effects.

7. People Taking Certain Medications
Reglan can interact with many other medications, including those for depression and blood pressure. It is crucial to tell your healthcare provider about all the medications you are taking to avoid potential drug interactions.

My Honest Opinion on Reglan for Breastfeeding

As a mom who’s been through the ups and downs of breastfeeding, I understand how desperate you can feel when your milk supply is low. But after looking into it and thinking about the risks, I’d be hesitant to recommend Reglan for lactation unless you’re working closely with a doctor who really understands your medical history and the potential side effects.

Reglan might help with milk supply in the short term, but the mental health risks are serious. The chance of triggering anxiety or depression is something you really have to take seriously. Especially when there are other ways to support milk production that don’t have these risks. If you’re considering Reglan or any other medication, I’d encourage you to explore all other options first. Working with a lactation consultant can help you find a safe and effective solution.

In the end, it’s a personal choice. What works for one mom might not be right for another. Whatever you decide, just remember that your health is just as important as your baby’s.

FAQs

Sources:

1. Domperidone to Increase Breast Milk Supply in Mothers of Preterm Infants – https://www.aafp.org/pubs/afp/issues/2010/0701/p78.html
2. Can you really take a prescription drug to boost your milk supply? – https://www.singlecare.com/blog/metoclopramide-reglan-for-breastfeeding/
3. Metoclopramide for Milk Production in Lactating Women – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8648493/
4. Metoclopramide for breast milk production – https://www.sciencedirect.com/science/article/abs/pii/S0271531705802568
5. Drugs affecting milk supply during lactation – https://australianprescriber.tg.org.au/articles/drugs-affecting-milk-supply-during-lactation.html

Lindley D

Hi, I’m Lindley! I’m a stay-at-home-mom sharing all of the tips and tricks I learn throughout my motherhood journey. I’m now navigating through wife life and being a mom while blogging my crazy adventures. I’m so glad to have you along for the ride!