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March 23, 2022

Should domperidone be reconsidered as a treatment for low breastmilk supply?

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About

This event is concluded but you can watch the recording. The video and other materials are linked below.

Summary 

Domperidone is being increasingly prescribed off-label in BC and other Canadian jurisdictions to treat low milk supply. This presentation will discuss concerns about off-label prescribing, the characteristics of low milk supply and the patient, clinician, policy and socio-cultural factors that have contributed to domperidone’s growing use. The presentation will focus on safety concerns associated with domperidone and the evidence supporting its efficacy as a treatment for low milk supply. 

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Janet Currie, MSW,PhD

Biography

Janet Currie was a founder and principal of Focus Consultants, (Victoria BC), where she completed over a hundred major research and evaluation projects for the federal, provincial and territorial governments. This research addressed women’s health and addictions, regulation of pharmaceutical products, and government programs for domestic violence, child support, separation and divorce, victims of crime and access to justice.  

She was appointed as a two-term member of Health Canada’s Senior Expert Advisory Committee on the Vigilance of Drug Products and testified in Parliament and at the Canadian Senate multiple times on aspects of medication safety and off-label prescribing.  She was the chair of the Canadian Women’s Health Network and is past chair of the Public Awareness Committee of the Canadian Deprescribing Network where she continues to develop public information on deprescribing.

She is a co-founder of Independent Voices for Safe and Effective Drugs a pan-Canadian organization that focuses on access, cost containment,  safety and effectiveness of prescription drugs for the Canadian public. 

She founded and continues to coordinate a website that provides evidence-based information for the public on sleeping pills and benzodiazepines. She completed her PhD at UBC in 2021 which examined the patient, clinician, policy and socio-cultural factors contributing to the increasing off-label use of domperidone to treat low milk supply in BC.

RESOURCES

Blog: Women's Health Cluster

Thesis: What patient, clinician, policy and socio-cultural factors are associated with the rise in off-label prescribing of domperidone in British Columbia when used to treat low milk supply?

Chapter 14: "Domperidone to Treat Low Milk Supply: Drivers of Use, Efficacy and Safety" in Lactation: A Foundational Strategy for Health Promotion (2021).

Media attention: CBC Radio | broadcast | web

Date & Time

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