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Expert Q&A
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| By Mary Kay Smith IBCLC, Lactation Consultant | ||
Is oxytocin nasal spray used to encourage let down?

Historically, oxytocin nasal spray (Syntocinon) was used in cases with difficult or impaired milk ejection reflex. This medication is related to the oxytocin (Pitocin) used to stimulate uterine contractions to accelerate labor. However, the product is difficult to access and it was taken off the market several years ago due to lack of demand and price. (It is/was very expensive.) There are some pharmacies that will compound the spray at special request by a physician. One caution though: the body can become dependent upon the spray and become unable to achieve an independent let down. Most lactation specialists recommend that it be used for several days only.
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