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hydroxychloroquine 400 mg/day for Lupus

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  • #1

    hydroxychloroquine 400 mg/day for Lupus

    Cheers,
    I met with a client with hypoplastic breasts and insufficient glandular tissue, lupus, elderly pregnancy, donor embryo. All evidence points to her never making a sufficient milk supply. She is trying to decide how much effort to throw at increasing her supply. Normally I would suggesta mom to consider to take goat's rue and domperidone if she were otherwise healthy. With the lupus, I don't feel confident in what galactogogues might be compatible. Can you please advise? Thank you. Warmly, Betsy Hoffmeister, IBCLC
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  • #2
    Betsy:

    With hypoplastic breasts i'm not sure anything you do will help much. But before you suggest using any drugs, I'd suggest you get a prolactin level at 2 hours after breastfeeding or pumping. If her level is low (< 50 ng/mL) domperidone or metoclopramide "might" work, although it is somewhat unlikely with insufficient glandular breasts.

    Again, ONLY suggest these two drugs IF her prolactin levels are < 50 ng/mL.

    Tom Hale Ph.D.



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