Drugs causing galactorrhea mnemonic cardizem
Glaz E. Czeizel A, Drugs that may cause the condition can include the following : Dopamine-receptor antagonists (eg, phenothiazines, butyrophenones, thioxanthenes, risperidone, metoclopramide, sulpiride, pimozide) Always advise your doctor of any medications or treatments you are using, including prescription, over-the-counter, supplements, herbal or alternative treatments. 0000012636 00000 n The decision to treat patients with galactorrhea is based on the serum prolactin level, the severity of galactorrhea, and the patient’s fertility desires. 0000068478 00000 n It helps to treat your cancer. 0000068098 00000 n 0000011009 00000 n et al. Management of nipple discharge. Valero MA, Karamouzis M, The following medications are most commonly known to increase the risk for gynecomastia (breast enlargement and tenderness) in males. Philadelphia: Lippincott Williams & Wilkins, 2002:1045–51.Benjamin F. Betts HB. Galactorrhea also can occur in men. If there is doubt about the nature of the nipple discharge, galactorrhea can be confirmed by microscopic examination of the discharge for the presence of fat globules, or the discharge can be stained to detect fat.A pregnancy test should be considered for all postpubertal females. All rights Reserved. Galactorrhea secondary to maternal estrogen in infants is self-limited and does not require treatment.The decision to treat galactorrhea should be based on the serum prolactin level, the severity of the galactorrhea, and the patient’s fertility desires.Algorithm for the management of prolactinoma in women. 0000002333 00000 n In infants, breastfeeding history should be noted, because galactorrhea is more common in breastfed infants.A detailed drug history is crucial; galactorrhea is associated with a wide variety of drugs that raise serum prolactin levels. 40 0 obj <> endobj 0000067924 00000 n Most likely, they'll check your blood calcium and You may need to take drugs called calcimimetics. If you don't get it treated, high levels of calcium in your blood can lead to Your doctor can help you get your calcium levels back to normal and figure out why they're out of whack in the first place.Overactive parathyroid glands is the most common cause of hypercalcemia. Gray CE, Ferrari C, After infancy, galactorrhea usually is medication-induced. Physicians also should note whether the discharge is scant or abundant, expressed or spontaneous, and intermittent or persistent.Head-aches, visual disturbances, temperature intolerance, seizures, disordered appetite, polyuria, and polydipsia suggest a pituitary or hypothalamic disease. 0000068826 00000 n 0000068525 00000 n Access This ArticleALEXANDER K.C. Schlechte JA. The release of this But if you have overactive parathyroid glands, your body pumps out more PTH than you need. A serum prolactin level greater than 200 ng per mL (200 mcg per L) virtually assures the presence of a prolactinoma.Magnetic resonance imaging (MRI) of the pituitary fossa, preferably with gadolinium enhancement, should be considered if the serum prolactin level is significantly elevated or if a pituitary tumor is suspected.Osteopenia and osteoporosis may be associated with hyperprolactinemia in children and adults as a result of estrogen inhibition in females and disturbances of vitamin D hydroxylation in both sexes.Treatment of galactorrhea should be directed at the underlying cause. Am J Cardiol 1983; 51:1466. Calcium channel blockers are the most common culprits among the antihypertensives in causing gynecomastia. If known or reported the incidence is also provided. 0000067438 00000 n 0000020271 00000 n 4th ed. ALEXANDER K.C. A comparison of cabergoline and bromocriptine in the treatment of hyperprolactinemic amenorrhea. Vartej P, Dopamine agonist therapy in hyperprolactinemia.
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