Reglan®(Metoclopramide) is a drug used in infants, children and adults to improve upper gastrointestinal function.

• In infants, it is often used to treat gastroesophageal reflux (vomiting).
• In children and adults, it is used to treat heartburn, and to treat the nausea and vomiting caused by other drugs.

Reglan®(Metoclopramide) has, as a side effect, the ability to increase prolactin, the milk- making hormone in the brain.

• Prolactin, along with frequent and regular breast pumping, increases breastmilk production.

Reglan®(Metoclopramide) is usually taken as a 10 mg tablet orally, three or four times a day for a week, then tapered off over the next week.

• Cost for 30 tablets is approximately $33 for the brand name Reglan® and $12-15 for the generic brand which is just as effective.
• Milk supply usually increases within 2-4 days of starting the medication and pumping 6-8 times per 24 hours.
• It is essential that the milk be emptied frequently from your breasts, even at night.

Although Reglan®(Metoclopramide) can be safely given to infants, a small amount of mother's dose will get into the milk.

• Studies have shown no infant side effects, but
• Watch for sleepiness and poor feeding in your infant.

Side effects may occur in a small number of mothers.

Restlessness, drowsiness, fatigue and diarrhea may occur, but usually do not require stopping the medication. Driving while taking the medication may not be wise if you are feeling fatigued.

• Rare side effects are: sleeplessness, headache, confusion, dizziness, mental depression, feelings of anxiety and aggitation. If you have any of these, discontinue the drug.
• A very rare side effect (less than 1 per 500 people taking the drug) is an "acute dystonic reaction" where you have difficulty controlling your muscles movements, including your eye movements. Discontinue the drug and call your physician. Benedryl (diphenhydramine) will stop this reaction.

Reglan®(Metoclopramide) should NOT be used if you:

• Have epilepsy or are on anti-seizure medications
• Have a history of mental depression or are on antidepressant drugs
• Have a tumor called a Pheochromocytoma or uncontrolled high blood pressure
• Have intestinal bleeding or obstruction
• Have a known allergy or prior reaction to Reglan®(Metoclopramide)