Motilium alternatives

Domperidone (Motilium) helps with nausea, slow stomach emptying, and is sometimes used to boost milk supply. But it isn’t right for everyone—some countries restrict it because of heart risks and safety concerns. Below are straightforward alternatives you can talk about with your doctor, plus practical non-drug steps you can try now.

Medicines that can replace Motilium

Metoclopramide (Reglan) is a common alternative when you need a prokinetic or anti-nausea drug. It often helps stomach emptying and reduces nausea. Doctors normally limit how long you take it because longer use can cause movement problems. Mention any psychiatric meds or Parkinson’s history to your prescriber.

Low-dose erythromycin, an antibiotic, can act like a prokinetic and speed gastric emptying for some people. It usually works best short-term because the effect can fade after a few weeks. Tell your clinician about other meds—erythromycin can interact with several drugs.

For acid-related nausea or reflux, proton pump inhibitors (PPIs) or H2 blockers won’t improve motility but can reduce heartburn and related symptoms. They’re worth discussing if reflux is part of the problem.

Non-prescription and lifestyle options

Small, frequent meals are simple and effective. Big, fatty, or high-fiber meals slow your stomach, so swap them for softer, low-fat choices and more frequent snacks. Sit upright during and after eating for 30–60 minutes to help digestion.

Try ginger for mild nausea—ginger tea or lozenges can work for some people without medications. Also consider referral to a dietitian for a practical meal plan tailored to your symptoms.

Physical changes help: light walking after meals aids motility. Avoid tight clothing and large meals late at night. If you smoke, quitting improves digestion and overall recovery.

If the goal is to boost breast milk, start with breastfeeding basics: frequent nursing or pumping, ensuring a good latch, skin-to-skin contact, and avoiding long gaps between feeds. A lactation consultant can spot simple issues that often fix low supply without drugs.

Herbal galactagogues like fenugreek are common, but their effects vary and they can interact with other medications. Always check with a healthcare professional before starting herbs.

Safety checks matter. Domperidone raised concerns about heart rhythm in some users. Before starting any prokinetic, discuss heart history, current medicines, and whether an ECG is needed. Always use the lowest effective dose and follow your doctor’s plan.

How to choose? Match the option to the problem: metoclopramide or erythromycin for motility issues, PPIs for reflux symptoms, non-drug strategies for both motility and lactation support. Talk openly with your clinician about risks, duration, and follow-up. A short conversation can point you to the safest, most effective choice for your situation.