Hyperprolactinemia
- Treat cause—not every elevated prolactin
- Stop/switch offending drug when feasible
- Prolactinoma → dopamine agonist
- cabergoline usually preferred
- Bromocriptine is an alternative
- Monitor prolactin + tumor size
- Antipsychotic-induced disease needs separate strategy
Use at a glance
- Treat cause—not every elevated prolactin
Choosing treatment
- Stop/switch offending drug when feasible
Treatment options
- Prolactinoma → dopamine agonist
- cabergoline usually preferred
- Bromocriptine is an alternative
- Antipsychotic-induced disease needs separate strategy
Monitoring / follow-up
- Monitor prolactin + tumor size
Self-check
- Which dopamine agonist is usually preferred for prolactinoma?
Cabergoline. - What is monitored in hyperprolactinemia?
Prolactin + tumor size.
Drugs used for this (2)
All clinical uses · Open Hyperprolactinemia in the interactive console ↗