What drugs are used to stop breast milk production?

Understanding Medications to Stop Breast Milk Production
The decision to stop breast milk production can arise for various reasons, including personal choice, medical necessity, or complications during breastfeeding. While the natural process of lactation can be managed through gradual weaning, some women may seek pharmacological assistance to expedite the drying up of breast milk. Several medications have been identified for this purpose, each with its own mechanisms and considerations.
Key Medications
Bromocriptine is one of the most well-known medications used to suppress lactation. This drug is a dopamine agonist that works by inhibiting prolactin secretion from the pituitary gland, effectively reducing milk production. Historically, bromocriptine was commonly prescribed for this purpose, but its use has come under scrutiny due to potential side effects, including cardiovascular issues and neurological effects. As a result, its prescription has become less frequent, and healthcare providers often weigh the risks and benefits carefully before recommending it.
Cabergoline is another dopamine agonist that has gained attention as a safer alternative to bromocriptine. It functions similarly by lowering prolactin levels, thus helping to dry up breast milk. Some studies suggest that cabergoline may have a more favorable side effect profile compared to bromocriptine, making it a preferred choice for some practitioners.
In addition to these specific medications, certain antipsychotic drugs can inadvertently increase prolactin levels and, consequently, milk production. However, this is not their intended use, and they are not recommended for stopping lactation.
Non-Pharmacological Approaches
While medications can be effective, many healthcare providers recommend non-pharmacological methods as the first line of action. Gradual weaning, where breastfeeding or pumping sessions are slowly reduced, is often encouraged. This approach allows the body to adjust naturally, minimizing discomfort and potential complications associated with sudden cessation of milk production.
Considerations and Risks
When considering medication to stop breast milk production, it is crucial to consult with a healthcare provider. They can provide guidance based on individual health circumstances and the potential risks associated with each medication. For instance, while bromocriptine and cabergoline can be effective, they may not be suitable for everyone, particularly those with certain pre-existing health conditions.
Moreover, the decision to use medication should also take into account the emotional and physical aspects of weaning. Some women may experience psychological distress or physical discomfort during this transition, which can be exacerbated by the use of medications.
Conclusion
In summary, while medications like bromocriptine and cabergoline are available to help stop breast milk production, they come with considerations that require careful evaluation. Non-pharmacological methods, particularly gradual weaning, are often recommended as a first step. Ultimately, the choice of whether to use medication should be made in consultation with a healthcare professional, ensuring that the approach aligns with the individual’s health needs and personal circumstances.

Is it possible to just stop producing breast milk?

As this stimulation decreases or stops, your body will also decrease or stop making milk. This can be done using an abrupt or gradual method. It may take several days or weeks for your breasts to completely stop making milk. Breast fullness should decrease in 1-3 days.

How long does cabergoline take to dry up milk?

For those with established lactation, cabergoline on average required 3.29 days to stop. In Caballero-Gordo et al, where participants who failed an initial dose of cabergoline 1 mg and then received an additional 1 mg dose, symptoms disappeared completely within 48 hrs.

How to stop lactation when not pregnant?

But there are a few things you can do at home to reduce your likelihood of lactating while not pregnant, including:

1. avoiding bras or clothing that irritate your nipples.
2. avoiding stimulating breasts too often.
3. practicing healthy ways to relieve stress.

What drugs are used for lactation failure?

Metoclopramide and chloropromazine may help certain mothers with lactation failure to revert to normal milk production through their galactagogue effect (27). Metoclopramide is a more effective releasing agent for prolactin than TRH.

What medication is used to stop lactation?

Women sometimes to ask for a tablet to stop their milk supply. This medication works best if it is taken within 12- 24 hours of your baby’s birth. The medication is not routinely prescribed in hospital due to the many side effects and health risks with this medication. The medication is called cabergoline (Dostinex®).

How to stop producing breast milk?

To stop making milk you will need to limit how much you remove from your breasts. This will send a message to your body to make less milk. It may be more comfortable for you to suppress your milk supply gradually. Your hormone levels will reduce and your breasts will return to ‘normal’ more slowly.

What is the safest method of lactation suppression?

Suppression of Lactation
The simplest method of lactation suppression is support of the engorged breasts, application of cold packs, and appropriate analgesia if necessary. Symptoms usually disappear within 2 to 3 days. Medical suppression of lactation is possible with estrogens or bromocriptine.

What can I use if I want to stop breastfeeding?

Combining breast milk and formula
You can start by replacing 1 of your baby’s regular daily breastfeeds with a bottle (or, if your baby is over 6 months, a cup or beaker) of formula, instead.

Can I breastfeed my baby after taking cabergoline?

In all situations where lactation is being suppressed, advise against breastfeeding or expressing milk after taking cabergoline, as either could stimulate lactation. It is not known if cabergoline is secreted in human milk. Slowly replace each breastfeed with an infant formula feed.

How much Sudafed to take to dry up milk?

One small study of eight women showed that just one dose of pseudoephedrine (60 mg) lowered breast milk production. It’s not completely clear why, but researchers think that pseudoephedrine may lower how much prolactin your body makes.