The USA SHould Approve DOM

Why Won’t the U.S. Approve Domperidone When Other Countries Swear By It?

Let’s talk about the elephant in the lactation room: Domperidone. Or rather, the lack of it—at least legally—in the United States.

Now, I’m not a doctor, but I am a woman who’s done her research, sat in more mommy forums than I can count, and tried just about every oat, tea, and flax-filled cookie on the planet trying to boost my supply. So when I heard about Domperidone, the so-called “miracle” lactation drug that moms in Canada, Australia, and the UK are practically singing hymns over, I thought, Finally, a real solution!

But here in the U.S.? Nope. Denied. Blocked. Not approved by the FDA.

Why though? That’s the million-dollar question. Other countries have been prescribing it for years to breastfeeding and relactating moms without blinking. It’s not new, it’s not untested, and it’s not some black-market witch potion. It’s been around since the 1970s, for crying out loud. Some women swear their entire breastfeeding journey depended on it. And you know what? I believe them.

But here we are, stuck in red tape. The FDA banned it due to concerns about possible heart rhythm issues in high doses. Fair. Caution is good. But let’s not pretend like half the stuff they approve doesn’t come with a side effect list longer than a CVS receipt. (Side effects may include loss of appetite, kidney failure, rage, and spontaneous combustion. You know, the usual.)

Meanwhile, we’re told to “just power pump,” “just relax,” “just latch more,” “just try some fenugreek” (even though fenugreek makes half of us smell like maple syrup and gives the other half gas). The fact is, for some women—especially those inducing lactation, adopting, or recovering after illness or surgery—those tips aren’t enough. And let’s be real: stress doesn’t exactly help the milk flow either.

So what do we do? We go underground. Women are literally risking their health ordering Domperidone from overseas, from sketchy websites, praying it's the real deal and not a sugar pill with a French label. Why? Because we’re desperate for what every mom deserves: support and options.

I’m not saying Domperidone is for everyone. But I am saying it should at least be an option—with proper oversight, medical guidance, and access. Because honestly, tired mamas shouldn't have to become rogue pharmacists just to feed their babies.

Until then, we’ll keep advocating, keep asking questions, and yes, keep side-eyeing the FDA like, What’s the real story, sis?