Domperidone
Indication
As a galactagogue for birth mothers and mothers of adopted babies
Brand:
Nice TA:
Commissioning responsibility:
CCG
PbR excluded:
No
Background
Appropriate for initiation and ongoing prescribing in both primary and secondary care for a maximum period of seven days at a total maximum daily dose not exceeding 30mg
Any health professional or lactation consultant with the appropriate skills, knowledge and competency within midwifery, health visiting and neonatal services can signpost a woman to her GP for discussion about the use of galactagogues where there is evidence of:
- an effective breastfeeding or expressing assessment and
- implementation of a breastfeeding care-plan to increase maternal lactation and
- an assessment of the need for the use of a galactagogue
Following discussion with the patient it will be the prescriber’s clinical decision whether or not to prescribe domperidone. As domperidone for this indication is off label, informed consent should be obtained and documented before use, following the General Medical Council's prescribing unlicensed medicines guidance
Recommendation
LSCMMG Recommendation:
Green (Restricted)
Reason for decision:
Suitable for initiation in primary care in line with restrictions