TY - JOUR T1 - Viewpoint: Domperidone and breastfeeding JF - British Journal of General Practice JO - Br J Gen Pract SP - 408 LP - 408 DO - 10.3399/bjgp17X692345 VL - 67 IS - 662 AU - Samuel Finnikin AU - Lisa Finnikin Y1 - 2017/09/01 UR - http://bjgp.org/content/67/662/408.abstract N2 - Traditionally, the role of GPs in supporting breastfeeding has been signposting women to appropriate local resources. Is discussion of galactagogues soon to be a common consultation?Domperidone stimulates prolactin release driving milk production. Ordinarily, prolactin production is induced by effective suckling, producing a positive feedback loop, and establishing milk supply. Using galactagogues to augment milk supply is common practice in some parts of the world, including British Columbia, Canada, where one in five women who delivered at term were prescribed domperidone.1 Is domperidone an underused treatment, or are we at risk of overmedicalising infant feeding?Evidence for use of domperidone to augment lactation is not compelling. In 2015, a systematic review identified four relevant randomised controlled trials.2 These studies … ER -