allow the infant to empty the breasts completely;
alternate between breasts during the same feeding if the
infant feels drowsy or if he/she is not sucking vigorously;
avoid the use of bottles, pacifiers and nipple shields;
eat a balanced diet;
drink enough fluids (recall that excessive intake of
fluids does not increase milk production, and can even
reduce it.34,35);
take a rest.
In some selected cases, when the measures mentioned
above do not work, the use of medications may be useful.
The most widely used medications are domperidone and
metoclopramide, dopamine antagonists, which increase
prolactin levels (see the article entitled Breastfeeding
and maternal medications in this supplement).
Domperidone, widely used in Canada and Mexico, does
not cross the blood-brain barrier, which makes it safer
than metoclopramide, with fewer side effects, and may be
used for an undetermined time period. However, these
drugs seemingly do not stimulate milk secretion when
prolactin levels are already sufficiently high or when there
is not enough glandular tissue.36
Refere