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Posted 22 December 2012 - 07:18 AM
I take Motilium for my milk supply and finish my course next week. I'm a bit worried that when I finish the course my supply may start to dwindle (this is my 2nd course, my supply dwindled after I finished the first course).
Has anyone had this happened to them and if so what else did you try?
I also get terrible headaches after taking Motilium, does anyone else get this side effect?
Posted 22 December 2012 - 08:58 AM
I didn't have problems with my supply dwindling after finishing up on motilium, but I did get horrible headaches so can relate to that! The only thing that helped was finishing up taking the motilium, unfortunately.
Have you tried fenugreek? May have less side effects for you (although gave me a bit of an upset stomach, but a lot of people have no problem with it).
Posted 22 December 2012 - 09:12 AM
I was in the same boat as you, and I second fenugreek, in fact looking back I think that for me fenugreek worked better for me than Motilium, and I really noticed an increase in supply.
Posted 22 December 2012 - 09:20 AM
My DD1's Paed allowed me repeats on the script until I chose to give it up (we were full time expressers). I found a proper brewed (yeast) ginger beer helped.
Posted 22 December 2012 - 10:41 AM
I have some fenugreek so will try that. My ob actually thinks I'm wasting my time on the Motilium so when I finish this course I don't think I will bother with it again. Looking forward to getting rid of the headaches.
Tet I'm also a full time expresser, so I am a bit worried about my supply.
Thanks for your replies
Posted 22 December 2012 - 11:35 AM
My ob actually thinks I'm wasting my time on the Motilium
I wonder what the rationale for this thought is?
Are you under the care of a LC, she will be able to advise you re supply issues and how helpful the Motilium really is.
Have you got a double pump puffsgirl? Studies have shown that double pumps maximise supply, as well as being more time efficient.
All the best.
Posted 22 December 2012 - 12:26 PM
Motilium works by increasing the base level of prolactin so your natural ups and downs are at a higher level.but the effects wear off after about. 2 weeks. You're better off doing lactation cookies and fenugreek and fennel and extra stimulation.
Posted 22 December 2012 - 12:34 PM
Can I please ask you lovely ladies, fenugreek, do you take it in capsule form? And what brand do you prefer? I am currently on my second round of Motilium but that finishes soon. TIA
Edited by lovealpacas, 22 December 2012 - 12:35 PM.
Posted 22 December 2012 - 01:07 PM
My fenugreek comes in capsule form, I get it from my local herbalist.
Lucky - my ob said that he had recently been to a conference where another ob stated that he didn't believe it worked. I do have a double pump that I'm using. I have seen an LC who virtually just told me that my supply is up to the highest amount it will get to and that there isn't much else I can do apart from what I'm doing (DS has 2 bottles of formula a day due to my low supply).
Is it true that you can only get your supply so high and no matter what you do nothing will increase it?
I have a recipe for lactation cookies that I will try.
Posted 22 December 2012 - 04:05 PM
My OB told me I was wasting my time with motilium also.
Posted 22 December 2012 - 04:48 PM
my ob said that he had recently been to a conference where another ob stated that he didn't believe it worked.
I wouldn't be satisfied with "believe", I'd prefer some evidence.
It either helps or it doesn't, the proof is in the pudding so to speak.
Is it true that you can only get your supply so high and no matter what you do nothing will increase it?
If you have done everything possible (physiologically and hormonally) to maximise your milk production and it remains pretty much stuck at a level the it would seem you have reached a capacity. So I'd be guided by what your LC has said.
It is easier to maximise supply with baby on the breast so you are doing a fantastic job with your expressing and milk production.
I have a memory of reading that whatever your supply is at around 6 weeks that is indicative of it's maximum but don't quote me on that!
I know women who will easily keep up a full supply with only expressing but not all, I would guess I'd be one who couldn't.
I did express for quite a while and I wasn't able to store very great amounts, I bet I'd have to express every 2 hrs around the clock to even try and I cant imagine I could sustain that long term.
Posted 22 December 2012 - 04:58 PM
Thanks for that Lucky. My LC said I ned to stop the Motilium after this course is finished and just keep doing what I have been doing.
I'm committed to expressing for as long as I produce milk for, I figure every little bit of breast milk my little boy gets is doing him some good.
I just wish I had more support when I was in hospital having DS and maybe my. Breast feeding journey would of been successful.
Posted 22 December 2012 - 06:55 PM
Puffsgirl11 I completely relate. I had a very straightforward easy birth in a birth centre and was led to believe that being home would be the best place for my baby and I following the birth. It was wonderful being home, but I wish I had support breastfeeding! Nobody, not one midwife (never saw an OB), suggested that staying a few nights might be beneficial to help establish breastfeeding. By the time I worked out that I had low supply at about 12 weeks it was probably too late to ever increase it to a full supply. Baby was hungry and I never knew.
Motilium, however, I felt really did help. I worked so hard with frequent feeding, expressing, fenugreek, acupuncture etc and when I stopped the first course my milk supply dwindled again. I'm still taking the motilium months later - GP has no problems with it.
I have put on weight though - not sure if its a side effect - anybody else put on weight taking motilium?
Posted 22 December 2012 - 08:56 PM
My OB also reluctantly prescribed motilium for me cos he kept saying it won't work...and he prescribed in meagre amounts and doses. I have since stopped taking and didn't go back to pharmacy for repeats.
Posted 22 December 2012 - 09:15 PM
I'm on my first round of Motilium at the moment and feel its made a huge difference to my supply. What doses are other people taking? Also my doctor said she can't give me a script with repeats on it as it won't be covered by PBS so I have to go back in and see her to get repeats is this true?
Posted 22 December 2012 - 09:20 PM
you need to wean off of the motillium. it is the ONLY thing that worked for me (the motillium) so i don't see why your OB thinks you are wasting your time... gradually lower the tablet by 1 less every 3 days.
Posted 22 December 2012 - 09:21 PM
butterfly- it is an authority script, so she can get you 200 tabs at a time 4x25 tablets which is 1 prescription.
Posted 22 December 2012 - 09:37 PM
I have read a lot of studies that have shown that motilium increases supply. So not sure why your OB says you are wasting your time? Maybe there is some new research out that I dont know about.
If I were you OP I would slowly wean off them, maybe 1 tablet less every week. I found that the first day I start dropping tablets is the worst and my supply would seem low that day. But my body then adjusts and the following day my supply is back. I hope you notice the same thing. Good luck!
Posted 22 December 2012 - 10:19 PM
I've just weaned off Motilium after being on it for 6 months and it most definitely was helping my supply.
I was taking 90mg per day. From my research, 60mg per day is the standard recommendation in Australia, while they prescribe up to 160mg per day in America for lactation (google Dr Jack Newman). You can have big jumps in supply from 60 to 90mg, and from 90 to 120mg.
And yes, weight gain is a side effect for some (along with no periods, bad skin, the "blahs", headaches etc).
ETA - And yes, weaning off slowly can minimise drop in supply.
Edited by OnTheJourney, 22 December 2012 - 10:22 PM.
Posted 22 December 2012 - 10:26 PM
I had low supply (baby lost 12% of bodyweight by day 3) so we were breastfeeding, pumping and comping from then. Pumping only from 6 weeks when we finally admitted she just couldn't feed from the breast as she had a terrible sucking reflex and tongue tie that wasn't diagnosed until much later.
Motillium was a godsend for me. Fenugreek gave me the runs and absolutely no increase in supply Motillium however bumped my supply up another 50%.
I maxed out at 600mls production a day solely pumping. I was on motilium and pumping up until 7 months when a bout of mastitis killed my supply and i didn't see the point of pumping for so many hours each day to get 100ml.
Each time i tried to come of motillium my supply dropped off so i was on a maintenance dose. Motillium kept my baby on breastmilk from 2 weeks until 7 months meaning i only had to give bubs one formula bottle each day. I was lucky not to suffer any headaches from it.
Posted 22 December 2012 - 10:36 PM
60mg per day is the standard recommendation in Australia
I've seen 80 mg being prescribed in Australia, ie 2 tabs by 4 times a day.
Posted 23 December 2012 - 12:52 AM
I was on 3 tablets a day for a week, 2 tablets for the next week and now I take 1 tablet daily. It hasn't increased my supply but I think it has probably maintained it somewhat.
My skin is like a teenagers and has been since I started the Motilium, can't say I will miss that side effect. I have been told that by my LC that I can only take it for 6 wks, which I thought was weird considering other people seem to stay on it for longer. They did tell me that if I needed it again later down the track I could have another course.
I didn't really ask more info off my ob why he didn't think Motilium worked, I figured the LC probably knew more about.
I have noticed that sometimes when I express I only get 60mls and other times I can get 120mls (from both breasts). This hasn't really changed since starting the second course.
Posted 23 December 2012 - 01:07 AM
I was on 2x the recommended dose (under the supervision of a LC) along with blessed thistle and fenugreek as well as pumping after each feed. Once I stopped the Motilium, my supply drastically dwindled. I was on it for about 4 months, with no side effects. The vitamins helped a bit, but unfortunately for me, I had to switch to formula at 4 months.
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