Prolactin/ Galactorrhoea Flashcards

1
Q

Is prolactin secreted from the anterior or posterior pituitary gland?

A

anterior pituitary gland with

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2
Q

What hormone inhibits prolactin from being released?

A

Dopamine

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3
Q

What class of drug is used to control galactorrhoea?

A

dopamine AGONISTS
e.g. Bromocriptine

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4
Q

Clinical features of excess prolactin

A

Men:
- impotence
- loss of libido
- galactorrhoea

Women:
- amenorrhoea
- galactorrhoea

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5
Q

Causes of excess prolactin

A
  • prolactinoma
  • pregnancy
  • oestrogens
  • physiological: stress, exercise, sleep
  • acromegaly
  • PCOS
  • primary hypothyroidism
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6
Q

What drugs can cause a raised prolactin?

A
  • metoclopramide
  • domperidone
  • phenothiazines
  • haloperidol
  • very rare: SSRIs, opioids
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