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Hyperprolactinemia

Menopause

Information on how to access prescribing information and adverse event reporting can be found at the bottom of the page.

Monitoring and Management

Dose Adjustment

To optimize outcomes for patients who begin dopamine agonist therapy, routine follow-up of prolactin is imperative for guiding dose adjustment.1

Serum prolactin should be measured 1 month after initiating dopamine agonist therapy and routinely repeated, as necessary.1,2

Other Assessments

Aside from monitoring prolactin levels and adjusting dopamine agonist therapy to achieve prolactin normalisation, other follow-up assessments should be conducted during treatment.1

Treatment Discontinuation

Dopamine agonists should be given continuously for at least 2 years. After this time, therapy can be tapered and perhaps even discontinued if prolactin levels have remained at normal levels for 2 years and there is no visible tumor remaining on MRI.1
If treatment tapering/discontinuation is pursued, careful follow-up is required to monitor for recurrence.1


Dostinex (cabergoline) prescribing information can be found here

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References

1.Melmed S, Casanueva FF, Hoffman AR, et al; Endocrine Society. Diagnosis and treatment of hyperprolactinemia: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011;96(2):273-288.
2.Halperin Rabinovich I, Cámara Gómez R, García Mouriz M, Ollero García-Agulló D; Grupo de Trabajo de Neuroendocrinología de la SEEN. Clinical guidelines for diagnosis and treatment of prolactinoma and hyperprolactinemia. Endocrinol Nutr. 2013;60(6):308-319.

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PP-UNP-GBR-0580. June 2022

What is Hyperprolactinaemia?

See general information including pathophysiology and etiology
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Identifying Common Symptoms

Understand what signs to look for and explore two patient case studies
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Interpreting Test Results

Recognise which tests to order and what the results indicate
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Selecting Treatment based on Guidelines

Determine therapy based on clinical and patient factors
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PP-PFE-GBR-3863. November 2021

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