Domperidone was found to cause some problems when given
intravenously in incredibly high doses, so the FDA
that it not be prescribed. In reality, ANY drug given in high
enough doses will cause problems (how about Advil, or aspirin,
for example). and the dose of Domperidone used to increase milk
supply has never been associated with serious supply problems.
Additionally, it has far fewer side effects than Reglan. Here is
summary of the professional responses to the FDA statement
from BFAR.org, including research-based evidence that
Domperidone is not harmful in the dosage recommended for
increasing milk supply.
Domperidone is now difficult to find in
the United States, although it is legal for compounding
pharmacists to mix it for you if you have a prescription. Some
women with chronic milk insufficiency that threatens the health
of their babies have started ordering it from abroad, or
ordering from compounding pharmacists in other states. The
professional organization of compounding pharmacists has issued
supporting the continued use of Domperidone - something to
take with you to the pharmacist if you've been having trouble
getting this medication.