Hyperprolactinaemia Treatment: Effective Options & Guidance
When dealing with hyperprolactinaemia treatment, the medical approach aimed at lowering excess prolactin levels and restoring normal hormonal balance. Also known as high prolactin management, it often starts with dopamine agonists, medications that stimulate dopamine receptors to suppress prolactin secretion. Two of the most common choices are cabergoline, a long‑acting agent with a favorable side‑effect profile and bromocriptine, an older drug that works quickly but may cause nausea. When a pituitary tumor, known as a prolactinoma, is the source, imaging with pituitary MRI, a detailed scan that reveals tumor size and location guides whether medication alone suffices or surgery becomes necessary. In short, hyperprolactinaemia treatment blends pharmacology, imaging, and sometimes operative care to bring prolactin back into range.
Key Factors Shaping Your Treatment Plan
The choice of drug hinges on several attributes: how high the prolactin level is (the severity attribute), whether the patient is planning pregnancy (a reproductive status attribute), and the presence of side‑effects like dizziness or blood‑pressure changes (a safety attribute). Dopamine agonists require regular blood‑pressure checks because they can lower systolic readings, especially with cabergoline. For patients who cannot tolerate medication, transsphenoidal surgery offers direct removal of the adenoma and can normalize prolactin without ongoing drugs. Post‑operative care still often includes short‑term dopamine agonist therapy to ensure any residual tissue stays suppressed. Lifestyle tweaks—reducing stress, avoiding estrogen‑heavy supplements, and managing thyroid function—also play a supportive role, since thyroid disorders can falsely elevate prolactin.
Below you’ll find a curated set of articles that walk through each of these angles. Whether you’re looking for a deep dive on cabergoline dosing, a side‑by‑side comparison of dopamine agonists, or guidance on when surgery is the right call, the collection arms you with practical tips and up‑to‑date evidence. Dive in to see detailed drug profiles, monitoring checklists, and real‑world patient advice that will help you or your loved one navigate hyperprolactinaemia treatment with confidence.
Explore medication and surgery options for hyperprolactinaemia, learn how dopamine agonists work, when surgery is needed, and how to monitor treatment effectively.
Oct, 12 2025