I am overseas with unreliable internet connectivity, until sometime next week, so I apologise in advance if I won't respond quickly to any suggestions you make. I am also on different time zone and might be sleeping when you are awake. But I will try!
I have been taking Domperidone at 160 mg/day. My Mom suggested a couple days ago, that it doesn't really help my supply and that I should stop. In my stupid moment, I weaned down too quickly, from 160 mg to 120 mg per day a couple weeks. To be precise, I was at 150 mg/day for 5 day-ish, then dropped it to 120 mg/day three days ago. And my supply has been crashing, a couple days ago I was able to achieve the same daily pumping output (26 oz per day) with 23 pumping sessions! Yesterday, I woke up and realized that I got only 2 oz when I usually I got 3 oz after sleeping for 3 hours, without crazy pumping. And this trend continues on, if the interval between pumping is too long, my output drops significantly. If I power pump, I still get my usual output (my 30 mins interval output today is the same as the one from last week, same with output with interval of up to 1 hour). I am so scared to sleep now, because I know I will be paying for it by halving my milk!
Another problem, which is also new as of two days ago, is that there seems to be a lot of milk left over after pumping for 20 mins. I usually can collect the leftover after resting for 10 mins and pumping again. I am not sure what caused this I never had problem with letdown before, and I have been nearly EP-ing for over 3 months.
I am not sure that the cause is Dom withdrawal, because if the interval between pumpings are short my supply level is not affected. I have been on 160 mg/day (my regular Dom intake) again in the past two days, but my supply hasn't recovered. My Mom will take over parenting for a while, while I am trying to recover my supply, and I will do whatever it takes.
Yesterday, I got normal output level in one (and just one) pumping session, after I took 80 mg of Dom in 12 hrs period. Then I took a nap, and then in the subsequent session my output was halved again! I then got a normal output again in the evening, but today it has been halved again. I am pretty close to tears now. I have worked so hard on this, non stop crazy pumping for several months and had managed to reach approx 80% of my son's consumption level. This never happened before.
What could cause supply to suddenly disappear? I have no post partum menstruation yet, I don't have fever nor breast pain, so could it still be plugged duct? My power pumping output is still high. It is just that my output crashes if I have long interval between pumpings. I am hoping this is not permanent, since I managed to have two sessions with normal output levels yesterday (with 2-3 hours interval) - at 3 oz, though all other pumping sessions are doomed when the intervals are longer than 1 hour.
Before this resolves, what can I do to protect my milk supply so that the drop does not become permanent? I am pumping round the clock now, literally around 20 times a day!
I have no access to my lactation consultant from here, and if there are herbs that I need to take, I need to have my husband send it to me from the US. But I will do whatever it takes. Including coming back to the US before the scheduled time.
Thanks in advance for the kind advice!!