hyperprolactinemia
common medical condition in our society in male and female
overview
prolactin hormone responsible for milk secretion and inhibit ovulation
increasing secretion of prolactin hormone from pituitary gland
in male ,causing gynecomastia ,impotence ,decrease libido
in female , causing amenorrhea ,galactorrhea
as known that lactation considered contraceptive due to prolactin hormone inhibit ovulation
treatment
in these cases we suppress release of prolactin hormone by several drugs but common in pharmacies a drug Cabergoline
Cabergoline is a Dopamine receptor agonist act on D2-receptor ,which increase dopamine level which directly inhibit prolactin hormone
doses
inhibit lactation from the first day after delivery : take 1 mg as (two tablet) on the first day
stop lactation after breast feeding : take 0.25 mg (1/2 tablet every 12 hours for two days)
reduce prolactin in other condition : take 0.5 mg over a week like (1/2 tablet every 3 day for one week so total one tablet only )
examples
