Hyperprolactinemia: The medications that can cause it and what can be done about it.
Ғылым және технология
Hyperprolactinemia: The medications that can cause it and what can be done about it.
Prolactin is a pituitary hormone. When prolactin levels rise during pregnancy, it causes the breasts to grow and to produce milk. Outside of pregnancy, prolactin is important in regulating menstrual cycles in women and sperm production in men.
Dopamine is one of the primary regulators of prolactin levels. Active dopamine signaling in the pituitary gland keep prolactin levels low. Drugs that reduce dopamine activity can cause prolactin levels to rise.
Most treatments for psychosis reduce the dopamine signal, and have the potential to raise prolactin levels. Some of the medications within this category are more likely to do so than others.
But the list of potential prolactin-elevating medications is by no means limited to antipsychotic medications. Elevated prolactin levels are possible from a large number of other types of medications.
This lecture was given at the August 11, 2020 meeting of the SZconsult learning community.
SZconsult is a free consultation + education service offered by Northeast Ohio Medical University. It’s open to any clinician who wants to learn more about schizophrenia-spectrum illness, or who wants to tap into the collective wisdom of the learning community to find answers to clinical problems.
drugs causes hyperprolactinemia
treatments of hyperprolactinemia
What meds increase prolactin
What can I eat to reduce prolactin
caffeine affect prolactin levels
Пікірлер: 16
Sure sounds like my girlfriend’s doctor Elise condor if it is, I’m glad to see she’s doing good things and teaching people more about medicine
Great Info!
@AskAPsychiatrist
3 жыл бұрын
Thanks
I have hyperthroid and high prolactin. I'm a 39yo male. My Dr put me on methimazole.
Excellent presentation 👏 👌 👍
@AskAPsychiatrist
2 жыл бұрын
Thanks!
So the tumor that was induced to shut off the dopamine receptors and increased my prolactin levels doesn’t seem to be faded away. My prolactin levels are still higher then what it was. The range is near 20 ng/dl. I seen people with prolactinoma having done surgeries and afterwards their prolactin levels went down to 7ng/dl and that’s for a female. I was a healthy exercising fit male before having given this medicine. I’ve gained weight lost a lot of my libido I consider myself sexually dis functional! And even coffee in the morning doesn’t have much effect. And another thing it feels like the since of feeling life has decreased could be related to dopamine levels not going back to normal. Please is their a solution to this problem. Help me! And thank you!
I am taking invega and now my prolactin level is high. Can I take abilify to decrease prolactin ? How long should I take?
@AskAPsychiatrist
2 жыл бұрын
Abilify (aripiprazole) is usually very effective at reducing prolactin levels that have been elevated from other antipsychotic medications. And *very* low doses are often sufficient. I can’t make personalized recommendations on specific doses, durations or strategies on a KZread comments section. But your doctor should be able discuss options and details with you.
@KeventeLewis
2 жыл бұрын
Can I continue taking invega at a lower dose and take abilify as well, will that decrease my prolactin levels or will I have to stop the invega completely ?
So what can be done about it? Did I miss out in something here?
@AskAPsychiatrist
3 жыл бұрын
Check time mark 17:30. In addition to those options, adding a very low dose of aripiprazole can often normalize prolactin level.
@VerdosoVersusElites
3 жыл бұрын
@@AskAPsychiatrist thank you what’s considered a low dose ?
@AskAPsychiatrist
3 жыл бұрын
@@VerdosoVersusElites 2 mg often works. Others get results at 5 mg. Usually best to start at the lower dose. This is to be considered general information - not a specific recommendation... not medical advice.
What about adding ability to lower prolactin