Hyperlactinemia Flashcards
What are cabergoline and bromocriptine used for?
Hyperprolactinemia
What can cause hyperprolactinemia?
Hypothyroidism
Meds: Dopamine receptor antagonists like risperidone, metoclopramide, methyldopa, antihypertensives, reserpine and estrogens, opioids, TCAs, isoniazid, cimetidine
What does dopamine due to the production of prolactin?
It suppresses/prevents production of prolactin
What medication would be best to add for a patient with schizo and hyperprolactinemia?
Aripriprazole, along with clozapine, quetiapine, olanzapine affects hyperprolactinemia the least
What are some side effects of medications that treat hyperprolactinemia?
Bromocriptine, cabergoline
SE: hallucinations and psychosis (caution in psych patients), GI, cardiac valve problems