What do doctors prescribe to dry up milk?

Answered by Jeremy Urbaniak

Doctors may prescribe a medication called cabergoline (Dostinex®) to help dry up milk supply in women who no longer wish to breastfeed. This medication is most effective when taken within 12-24 hours after the birth of the baby. However, it is important to note that cabergoline is not routinely prescribed in hospital settings due to the numerous side effects and health risks associated with its use.

Cabergoline works by decreasing the levels of prolactin, a hormone responsible for milk production. By inhibiting the production of prolactin, the medication can help to rapidly decrease milk supply. However, it is crucial to discuss the potential risks and benefits of taking this medication with a healthcare professional before considering its use.

It is important to note that there are alternative methods for drying up milk supply that are generally considered safer and more commonly recommended. These methods include gradually reducing breastfeeding sessions, wearing a supportive bra, applying cold compresses or cabbage leaves to the breasts, and avoiding stimulation of the nipples. These techniques allow the body to naturally decrease milk production over time and are generally well-tolerated.

When considering the use of cabergoline, it is essential to be aware of the potential side effects and health risks associated with its use. Common side effects may include nausea, dizziness, headache, and fatigue. More serious side effects can occur, such as low blood pressure, heart valve problems, and psychiatric symptoms like depression or hallucinations. It is crucial to monitor for these side effects and report any concerns to a healthcare professional immediately.

Additionally, cabergoline is contraindicated in women with certain medical conditions, such as uncontrolled hypertension or history of heart valve disorders. It can also interact with other medications, so it is important to disclose all current medications and medical conditions to the prescribing healthcare professional.

It is important to have a thorough discussion with a healthcare professional to weigh the potential risks and benefits of using cabergoline to dry up milk supply. Each individual’s situation is unique, and a personalized approach is necessary to ensure the best outcome.

In my personal experience as a healthcare professional, I have witnessed women who have successfully used alternative methods to gradually decrease their milk supply without the need for medication. These methods allow for a more natural and gentle process, minimizing the potential risks associated with medications like cabergoline.

To summarize, cabergoline (Dostinex®) is a medication that may be prescribed to help dry up milk supply in women who no longer wish to breastfeed. However, due to the numerous side effects and health risks associated with its use, it is not routinely prescribed in hospital settings. Alternative methods, such as gradually reducing breastfeeding sessions and using cold compresses or cabbage leaves, are generally safer and more commonly recommended. It is crucial to discuss the potential risks and benefits of any medication with a healthcare professional before making a decision.