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• W4304688646 startingPage "101711" @default.
• W4304688646 abstract "While the prevalence of hyperprolactinemia under antidepressants is very low, its prevalence under antipsychotics, particularly of the first generation, is high. Antipsychotics act by blocking dopamine activity at the level of the dopamine type 2 receptor (D2R). When prolactin levels exceed 80-100 ng/ml, a pituitary adenoma must be ruled out by MRI. Treatment of hyperprolactinemia is necessary only in cases with clinical symptoms of hypogonadism. Three treatment options are possible: switch to a less hyperprolactinemic antipsychotic, sex steroid supplementation or dopamine agonist (which normalizes prolactin levels in only half of cases). Fortunately, psychotic exacerbation due to the opposing effects of antipsychotics and dopamine agonists on the D2R seems very rare. When a patient presents with a macroprolactinoma, particularly with optic chiasm compression, surgery or dopamine agonists may be proposed. The agonists are effective in reducing tumor mass and improving visual defects in the majority of patients but rarely normalize prolactin levels." @default.
• W4304688646 created "2022-10-12" @default.
• W4304688646 creator A5028728211 @default.
• W4304688646 date "2022-12-01" @default.
• W4304688646 modified "2023-10-01" @default.
• W4304688646 title "Treatments of psychiatric disorders, hyperprolactinemia and dopamine agonists" @default.
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• W4304688646 doi "https://doi.org/10.1016/j.beem.2022.101711" @default.
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