The cardiac effects have never been proven. In fact the FDA talk paper that was picked up by the press did not have input from anyone in the lactation community. A few months after it made all the news, the FDA quietly put up this information on their website: how to obtain domperidone for gastric patients:
http://www.fda.gov/cder/news/domperidone.htm It seems they do not have any fears about cardiac issues for these folks. And recently a ruling in Texas give compounding pharmacies in the US the ability to produce non-FDA approved medications with a doctor's prescription:
http://www.aapsonline.org/nod/newsofday294.phpThis is a good route to go but it can be VERY expensive to purchase domperidone from a compounding pharmacy, but once you have your prescription, you have the right to purchase your domperidone anywhere you choose which is why most mothers purchase from
www.globaldrug.tv which obtains the dom from the actual pharmaceutical company that produces it. Many mothers who are unable to obtain the prescription, get the dom from global and then inform their doctors and ask to be monitored.
Esther