The management of hyperprolactinemia in psychiatric practice

by Dr Ovais Wadoo, Dr Yaasir Mamoojee and Dr Aadil Shah

 

Last updated: July 2017

 

Psychiatrists sometimes prescribe medication that is known to elevate prolactin levels.

 

Hyperprolactinemia can lead to adverse health outcomes and thus clinicians need not only be alert to the symptoms, but should be able to manage the consequences as well.

 

In this module we will:

 

  • discuss the physiology and regulation of prolactin

 

  • list the major physiological and pathological causes of hyperprolactinemia

 

  • identify the reasons for failure to recognise hyperprolactinemia

 

  • discuss the interpretation of blood results and the management of psychotropic-induced hyperprolactinemia.

 

Finally, we will include a flow diagram to assist clinicians in decision-making around the management of hyperprolactinemia.

 

Start the module

 

If you like this module, you may also be interested in:

 

Managing the adverse effects of clozapine by Dr James MacCabe and Dr Jennifer Brook

 

Safe lithium prescribing: initiation and monitoring by Dr Ekta Sharma, Dr Tayeem Pathan and Dr Stuart Adams

 

Psychotropic medication and the heart: Part 1 and Part 2 by Dr Sridevi Sira Mahalingappa, Professor Femi Oyebode and Dr Patrick O'Brien

 

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