<s>[INST] Hi doctor, My wife is 36 years old and we have two male children. Now, we plan to adopt a baby girl in the next six months. As, I read an article of yours on internet about induced lactation for adoption, could you please help my wife breastfeed? Please note that one doctor prescribed Zandu satavarex, Perinorm 10 mg three a day and pumping every 2 hours. But, my wife had uneasiness due to flatulence and gas. Please note that it has been three years since she last breastfed. Thanks. [/INST] Hi. Thanks for corresponding and connecting through icliniq. Yes, I had a study, and it is lovely that you are adopting a baby girl. Perinorm (Metoclopramide) does cause increased intestinal motility. Well, every drug has some side effects. I recommend tablet Domperidone 10 mg twice daily empty stomach. Your wife can stop pumping as it is hurtful. Instead, tickling of both breast three times a day for three to five times will help in stimulating the nipple. Also, cumin seed water daily will help. Your wife can stop all other medications given by other doctors as it can have side effects. Also, your wife should not have liver and renal impairment. Kindly get KFT (kidney function test) and LFT (liver function test) done. Also, please inform if she is taking any medications for a heart problem or any other disease to reduce side effects. Start this minimum of 6 weeks before adopting the baby. Also, understand that the quality of the milk will not be the same as the milk produced after actual baby birth. </s>