Shatavari is a traditional herb often used to support lactation and is generally considered safe for breastfeeding mothers. While some women find it very helpful, scientific evidence on its effectiveness is still limited. Before starting any new supplement, I highly recommend consulting your doctor or a lactation consultant. They can help address why your supply decreased after stopping metoclopramide and ensure you and your baby get the best, safest support.

Perinorm (metoclopramide) is sometimes used to increase breast milk because it raises prolactin levels. However, it should only be taken under close medical supervision. While it can be effective, metoclopramide can pass into breast milk and may cause side effects, including mood changes like sadness or anxiety in mothers. Before starting this medication, it is best to consult your doctor or a lactation specialist to explore natural techniques like frequent nursing. If your doctor prescribes Perinorm, they will guide you on the safest, lowest dose for a short duration to protect you and your baby.

Since Shatavari and cumin water haven't worked, herbal alternatives like fenugreek (typically 1 to 6 grams daily, split into three doses) or moringa (500 mg twice daily) may help. However, the most effective way to boost supply is frequent, complete milk removal. Try to nurse or pump every 2 to 3 hours and ensure a deep latch. Please consult your doctor or a lactation specialist before starting new herbs and to safely taper off metoclopramide, ensuring both you and your baby stay healthy and supported.

A 5 ml dose of Ondem (ondansetron) can be correct depending on her weight, but since she is comfortable after a smaller dose, you should check with her doctor before giving more. Because her vomiting has resolved, the Perinorm (metoclopramide) injection is likely not needed now. Regarding a substitute for Ampoxin syrup, you can ask your pharmacist for a generic ampicillin and cloxacillin combination syrup. Please always consult her pediatrician to confirm the correct dosages based on her current weight.

Since metoclopramide (Perinorm CD) has not helped after two months, it is best to consult your doctor or a lactation consultant to discuss safely tapering off this medication, as long-term use is not typically recommended. Sometimes, non-medical approaches like increasing the frequency of nursing or pumping, skin-to-skin contact, staying well-hydrated, and ensuring a proper latch can naturally support your milk supply.

For your acute vomiting and bloating, a prokinetic antiemetic like metoclopramide or domperidone can help control nausea and improve gut motility. To address the indigestion and chronic acid issues, a proton pump inhibitor like omeprazole can reduce stomach acid. Please prioritize staying hydrated with oral rehydration salts. Since you have been vomiting for four days alongside chronic gastric symptoms, it is highly recommended to see a doctor for a proper evaluation and personalized prescription. Avoid self-medicating long-term. Seek immediate medical care if you experience severe abdominal pain, high fever, or cannot keep fluids down.