Effects Of Drugs On Lactation
The drug increases the secretion of milk
Prolactin is a hormone responsible for lactation. When prolactin is low (less than 100 nanograms / liter), milk production is poor. In the case of low milk production due to prolactin, dopamine receptor inhibitors increase prolactin secretion leading to increased lactation. There are many drugs with this feature such as domperidone, risperidone, phenothiazine derivatives.
In the case of a low amount of non-prolactin milk (prolctin per 100 nanograms per liter) this loss of milk is due to another cause and other medications are needed
Drugs that inhibit lactation
- Ergot derivatives: Ergot derivatives inhibit prolactin secretion, reduce prolactin levels in the blood or inhibit prolactin activity, thus reducing lactation. The two most commonly used drugs are bromocricptin (this is a medicine for Parkinson's but often for reducing erectile dysfunction) and cabergolin (stronger, with fewer side effects than bromocricptin)
- Hormones: Estrogen reduces lactation than progesterone.
Mixed oral contraceptives containing estrogen and progesterone reduce strong lactation. If you want to prevent pregnancy definitely, after 3 months of birth, you should take birth control pills, but you must use a type containing only low levels of progesteron so that it does not affect the lactation.
Excessive secretion of milk or clogging of the glands causes breast pain. Use these drugs with caution (choose the right medicine, appropriate dosage) because if used incorrectly, it will change from one state to another. For example, using cabergolin to reduce breast swelling should reduce breast pain, but if used in high doses, breast milk may be completely lost. Experience has shown that in many cases the use of traditional medicine also has good results.
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