The hormone prolactin stimulates lactation in humans, and its release is inhibited by the dopamine secreted by the hypothalamus. Domperidone, by acting as an anti-dopaminergic, results in increased prolactin secretion, and thus promotes lactation.
It should be noted that although the dosage instructions say to take domperidone before eating to aid in gut motility, for the purposes of lactation you should take it 1/2 hr. after eating for maximum benefit.
It is possible to use herbs to help boost your milk supply. Below are some of the most common herbs along with suggested dosages and general information.
Fenugreek and Blessed Thistle
Fenugreek and Blessed Thistle are typically used in tandem, they seem to work best if you take both, not just one or the other. This combination of herbs tends to act quickly and you should notice a difference within 12-72 hours. If you do not see a noticeable difference in this time, they are likely not going to help you.
Dosage: 3 capsules 3 times a day
- Fenugreek has a distinct, sweet smell (often described as smelling like maple syrup). If you cannot smell it on your skin, you are not taking enough.
- For optimal results, ensure that the fenugreek you are taking is fresh. It should give off a strong odour when you open the container.
Dosage: 3 capsules 3 times a day, or 20 drops of the tincture 3 times a day
Marshmallow (Althaea) Root
Red Raspberry Leaf