Beasley, Allen, Crow, Methvin, Portis & Miles, P.C.

It might surprise some to learn that the prescription heartburn drug Reglan (metoclopramide) has an off-label use of helping new mothers increase their milk supply. An appropriate level of the hormone prolactin permits lactation to proceed normally, but when a mother has low prolactin levels, milk supply may suffer. Drugs used to stimulate lactation work by blocking dopamine, which results in increased prolactin levels and, in many cases, an increase in milk supply.

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Melissa Kotlen Nagin is not a fan of the prescription drug Reglan, especially to stimulate milk production in breast feeding mothers. Nagan, a mother of three, is an International Board Certified Lactation Consultant and Registered Lactation Consultant who maintains an active private practice, teaches prenatal breastfeeding classes in New York City, and lectures on lactation topics at The Mount Sinai Hospital in New York City. She has assisted hundreds of women on breastfeeding issues in the past eight years. Lately, she has fielded numerous questions from her clients about how to increase milk supply. She says, “For the majority, aside from increasing stimulation, we talk about going the herbal route; for a smattering, we chat about Domperidone. For NONE do I discuss Reglan.”

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Nursing mothers who have difficulty establishing or maintaining breast milk production may be prescribed medication to increase the amount of breast milk they produce. One popular choice has been metoclopramide, most commonly known as Reglan.

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