Posts Tagged ‘ Breastfeeding ’

Hospital Website says Reglan “safe” for Infants: that’s news to us…

February 18th, 2010. By AbiK

Use of Reglan for babies with GERD issues—particularly premature babies—as well as using Reglan to stimulate milk production for breastfeeding are hot topics on mommy message boards all over the internet. Boards about colic, GERD, low milk production, premature births, and even morning sickness debate the pro’s and con’s of using Reglan to provide relief—or help things get moving properly.Hospital website says Reglan "safe" for infants

But it’s also a well-known fact that Reglan can only be prescribed off label for the above uses, and that no studies have been done on the effects of Reglan on infants. All we know is that Reglan carries a black box warning for Tardive Dyskinesia and that there’s a mixed bag of anecdotal experiences on all the mommy message boards and forums out there.

So why is this what’s written about Reglan use in infants with regurgitation, reflux or GER on the California Pacific Medical Center’s website?…

Medications
When basic measures fail to control symptoms, medication may be indicated. Usually, two types of medication are used. Acid-blocking medications (famotidine/Pepcid, ranitidine/Zantac, cimetidine/Tagamet, omeprazole/Prilosec and lansoprazole/ Prevacid) suppress stomach acid and prevent it from doing damage to the esophagus and lungs. Pro-motility agents (bethanechol, metoclopramide/Reglan, cisapride/ Propulsid) help to strengthen the tone of the lower sphincter and increase gastric emptying. For children these medications are by prescription only.

All of these medications are safe in infants and children [my bolding] and have only minor side effects. If your child experiences side effects, we will adjust the dose or change medication.

No qualifying statements or footnotes. No references to use of Reglan in this capacity being off-label. No mentions of the info you’ll see on rxlist.com (run by webmd.com) for Reglan use in children, which reflects Reglan’s monograph:

Pediatric Use

Safety and effectiveness in pediatric patients have not been established (see OVERDOSAGE).

Care should be exercised in administering metoclopramide to neonates since prolonged clearance may produce excessive serum concentrations (see CLINICAL PHARMACOLOGY - Pharmacokinetics). In addition, neonates have reduced levels of NADH-cytochrome b5 reductase which, in combination with the aforementioned pharmacokinetic factors, make neonates more susceptible to methemoglobinemia (see OVERDOSAGE).

The safety profile of metoclopramide in adults cannot be extrapolated to pediatric patients. Dystonias and other extrapyramidal reactions associated with metoclopramide are more common in the pediatric population than in adults. (See WARNINGS and ADVERSE REACTIONS - Extrapyramidal Reactions.)

 What gives California Pacific Medical Center?

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Posted in Drugs/Medical | No Comments »

If your Breast’s on Reglan, is your Baby on Reglan?

February 8th, 2010. By AbiK

Breast Milk Pump for BreastfeedingThere are women who breastfeed, and there are women who don’t. I’m not going into pro’s and con’s here (or a debate on breastfeeding 4 year olds, or public displays of breasts)—but suffice to say, if you’ve been pregnant, you have undoubtedly found yourself signed up for two things associated with the letter “L”: Lamaze and La Leche League training—otherwise known as breastfeeding 101. You may have your own opinions about both practices surrounding the joy of childbirth, but no matter. You will be highly “encouraged” to attend these classes.

Encouragement to be a “good mother” is always good; but unfortunately if you decline attendance—or worse—attend but voice some reservations or lack of desire to follow the script, you feel yourself being labelled…identified…duly noted…as the dissenter in class. Other moms-to-be will cast disparaging glances in your direction like you   JUST.   DON’T.   GET IT. And you begin to internalize the negative vibes and start to question yourself.

Cindy Crawford pre-delivery sans medsGod bless Cindy Crawford and her at-home, no meds deliveries. I am not Cindy. And I knew that no amount of huff-huff-puff-puff timed breathing while tightly gripping a pillow was going to delude me into thinking I could breathe through the pain. Nurse!! Where’s that &#@%ing epidural I ordered up!?? 

Breastfeeding was a different story. So many studies done to back up its healthiness. The benefits of bonding. The primal back-to-nature, this-is-what-it’s-all-about thing. Reduced rates of viral infection. Smart babies. On and on. Throw some Baby Einstein in and we’ll be off the WISC IQ scoring charts! Ok, sign me up! Pump for $200? Sure—I’ll take one!

Then…uh-oh…baby’s here and…NA-DA.

All the planning gone to hell. Why? A little thing called “complications”. (Not epidural-related for you Lamaze lovers out there). And so begins the guilt. The what-ifs. The what-now’s? Is my baby already underweight??

La Leche will offer you a figurative shoulder to cry on, along with some resources and guidance. And some well-meaning websites will share with you your “options” to get that milk flowing. One option: Reglan. Reglan’s called a “prescription galactagogue”. Funny thing about Reglan though (and

Read the rest of this entry »

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Posted in Drugs/Medical, Emerging Issues | 4 Comments »

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