International Board of Certified Lactation Consultant (IBCLC) Practice Exam

Using metoclopramide (Reglan) as a galactagogue is considered what type of use?

1. Standard use

2. Off label use

3. Experimental use

4. Prescription use

The correct answer is: Off label use

Using metoclopramide as a galactagogue is considered off-label use because this medication is primarily prescribed for gastrointestinal disorders, such as nausea and vomiting, and has not been specifically approved by regulatory agencies like the FDA for the purpose of increasing milk production. In many cases, lactation consultants and healthcare providers may prescribe medications off-label when they believe it could benefit the patient, and there is some evidence or clinical experience supporting its effectiveness in stimulating lactation. Off-label use acknowledges that while the medication may not have been specifically studied or marketed for this purpose, practitioners have the discretion to use it based on their clinical judgment and the best interest of the patient's health. This is particularly relevant in fields like lactation, where boosting milk supply may be essential for some breastfeeding mothers. Having a background understanding of off-label usage can be significant for those working with breastfeeding mothers, ensuring they are informed about the potential risks and benefits.