Selection and Use of Galactogogues

Breastfeeding mothers are often are concerned about an inadequate quantity of breast milk, designated as insufficient milk supply. Many breastfeeding mothers will attempt to increase the quantity of breast milk production by taking prescription drugs and/or herbs and foods called galactogogues. Galactogogues are defined simply as substances that promote lactation. The most common prescription galactogogues are domperidone, metoclopramide, metformin, and oxytocin. Many common herbals and foods have been traditionally used as galactogogues. These galactogogues will be reviewed; this information will allow health care professionals in all settings to provide consultative services to breastfeeding mothers. Breastfeeding mothers and supporters will find the information useful to determine if galactogogues are necessary, and if so, which galactogogues are appropriate for use. Treatment guidelines including benefits, doses, actions, and cautions are discussed.