Hi Anne - I am also very active on the Yahoo International Gastroparesis Website on behalf of my 13 y/o son. I know MANY there with dysautonomia, who safely take domperidone. Why not give it a try? If you have any negative side effects, you may want to try liquid erythromycin as an alternative. In tiny pediatric doses, it irritates the GI tract into emptying more quickly. My son has been on "E" for almost a year now- prescribed by his motility specialist at Johns Hopkins. Yes, domperidone is not available in the US. But, it is sold all over the world, OTC in many countries and is much, much safer than reglan- the prokinectic of choice in the US. Domperidone doesn't cross the blood/brain barrier, unlike reglan, and works only on the GI tract. Many members of the GP site, with their doctor's prescriptions, order it at "The Global Drugstore" online. They have fast, reliable, economical service. Best of luck. I know, from watching my son suffer, how debilitating gastroparesis can be. But, it can be managed effectively. Julie