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Does Soltamox Help Cure Gynecomastia?
Question: Is soltamox or arimidx useful for male breast reduction?
If not then what can work?
Is any over the counter med available?
If not then what can work?
Is any over the counter med available?
Brief Answer:
Advice to undergo detailed evaluation
Detailed Answer:
Hello,
Thank you for trusting HCM
Enlargement of male breast(gynecomastia) requires further evaluation for identification of underlying cause.
Since your blood work up has already shown elevated prolactin, the cause for elevated prolactin should be identified.
Increased prolactin levels can occur due to certain medications, pituitary adenoma, hypothyroidism (a major concern in your case since you are complaining of low energy) ,liver/renal problems etc. I recommend that you need to undergo Complete metabolic profile, MRI brain(especially if prolactin level was more than 5000), thyroid function test at this point. Correction of underlying cause can reverse the gynecomastia.Also,please let me know the list of any medications you are currently taking to identify possible offending medication.
If a particular underlying cause cannot be identified, Then Tamoxifen, anastrazole can be used for management of gynecomastia. Otherwise correction of underlying cause is the best option.Increased prolactin levels is best treated with medications like bromocriptine and cabergoline.
If you notice any lumps in the breast, Then a biopsy is also indicated.
There are no over the counter medications available for gynecomastia.
Please be advised to follow up with your primary care provider for further evaluation and management.
Regards
Dr.Lekshmi
Advice to undergo detailed evaluation
Detailed Answer:
Hello,
Thank you for trusting HCM
Enlargement of male breast(gynecomastia) requires further evaluation for identification of underlying cause.
Since your blood work up has already shown elevated prolactin, the cause for elevated prolactin should be identified.
Increased prolactin levels can occur due to certain medications, pituitary adenoma, hypothyroidism (a major concern in your case since you are complaining of low energy) ,liver/renal problems etc. I recommend that you need to undergo Complete metabolic profile, MRI brain(especially if prolactin level was more than 5000), thyroid function test at this point. Correction of underlying cause can reverse the gynecomastia.Also,please let me know the list of any medications you are currently taking to identify possible offending medication.
If a particular underlying cause cannot be identified, Then Tamoxifen, anastrazole can be used for management of gynecomastia. Otherwise correction of underlying cause is the best option.Increased prolactin levels is best treated with medications like bromocriptine and cabergoline.
If you notice any lumps in the breast, Then a biopsy is also indicated.
There are no over the counter medications available for gynecomastia.
Please be advised to follow up with your primary care provider for further evaluation and management.
Regards
Dr.Lekshmi
Above answer was peer-reviewed by :
Dr. Yogesh D
I use these meds:
for copd; advair and ventolin, sometimes anoro mainly due to alpha 1 antitrypsyn deficency, smoking for 30 years, working in power plant
for pain: tramadol, hydrocodone, advil, and gabapentin, have used flextor patch
for sleep; advil pm, trazodone
other: one a day multivit, vit b12, iron tab,
Seems like a lot but they help some.
for copd; advair and ventolin, sometimes anoro mainly due to alpha 1 antitrypsyn deficency, smoking for 30 years, working in power plant
for pain: tramadol, hydrocodone, advil, and gabapentin, have used flextor patch
for sleep; advil pm, trazodone
other: one a day multivit, vit b12, iron tab,
Seems like a lot but they help some.
Brief Answer:
Follow up answer
Detailed Answer:
Hello again,
I have gone through your medication list. Of all the medications you are taking only hydrocodone and trazadone have a minimal risk of causing gynecomastia.There are case reports showing increased prolactin level and gynecomastia in patients taking trazadone.if possible,you may try discontinuing these medications. However, the risk is low and discontinuation of hydrocodone/trazadone is not a must.
But since you have been diagnosed with Alpha one antitrypsin deficiency, I recommend getting liver function test done.Decreased liver function can result in development of male breast
Liver function test will be done as a part of the complete metabolic profile I had mentioned in above answer.
Please be advised to follow the recommendations mentioned in above answer.
Regards
Dr.Lekshmi
Follow up answer
Detailed Answer:
Hello again,
I have gone through your medication list. Of all the medications you are taking only hydrocodone and trazadone have a minimal risk of causing gynecomastia.There are case reports showing increased prolactin level and gynecomastia in patients taking trazadone.if possible,you may try discontinuing these medications. However, the risk is low and discontinuation of hydrocodone/trazadone is not a must.
But since you have been diagnosed with Alpha one antitrypsin deficiency, I recommend getting liver function test done.Decreased liver function can result in development of male breast
Liver function test will be done as a part of the complete metabolic profile I had mentioned in above answer.
Please be advised to follow the recommendations mentioned in above answer.
Regards
Dr.Lekshmi
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Kampana
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