HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Ways To Decrease Prolactin Levels

default
Posted on Tue, 8 Mar 2016
Question: Hello

My prolactine levels are high

The maximun according to the lab is 26 and i have a prolactine level of 48

I have done mri and i do not have any prolactinona

I have taken cabergoline before when i had prolactine levels very high like 2000.

Now where i live the cabergoline is not used. So what do i take to decrease the prolactine levels???

Thank you
doctor
Answered by Dr. Binu Parameswaran Pillai (3 hours later)
Brief Answer:
Need to find the cause first

Detailed Answer:
Good day,
Noted your concern. There are a number of reasons for a high prolactin value.
1) Pituitary nodules/ tumours near pituitary pressing on the pituitary stalk.
2) Stress.
3) Certain medicines: Anti psychotics, anti depressants, acidity pills, anti nausea/vomting pills,
4) Hypothyroidism.
5) Kidney and liver diseases.
6) Breast masses.
7) Breast/chest stimulation.

I presume your doctors have ruled out these causes of high prolactin ( noted that MRI was normal).

We need to find the cause of elevated prolactin before starting treatment.
What symptoms do you have?
Any breast discharge/irregular periods/infertility/headaches/blurred vision. ?
If you have none of the above problems, there is no need of treatment at your current levels of prolactin.

If cabergoline is not available, the other option is Bromocriptine.

Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Binu Parameswaran Pillai (13 minutes later)
Well i have no symptoms at all . It was a routine exam just to check how the prolactine was behaving. When I had it elevated I had awful headaches.

However, i was diagnosed with subclinic hypothyroidism two years ago. And I take 50mcg of syntroid. Do i need to do a blood test to check tsh levels etc?
doctor
Answered by Dr. Binu Parameswaran Pillai (11 minutes later)
Brief Answer:
Macroprolactin

Detailed Answer:
Yes, it is a good idea to do a TSH levels. I would say that, since your pituitary MRI was normal and since you have no symptoms, you shouldnt chase a Prolactin levels at all. There are occasions when one may have "Macroprolactin " where prolactin molecule size is large and hence the test will show up as high prolactin. There is no relevance for this.
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1438 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Ways To Decrease Prolactin Levels

Brief Answer: Need to find the cause first Detailed Answer: Good day, Noted your concern. There are a number of reasons for a high prolactin value. 1) Pituitary nodules/ tumours near pituitary pressing on the pituitary stalk. 2) Stress. 3) Certain medicines: Anti psychotics, anti depressants, acidity pills, anti nausea/vomting pills, 4) Hypothyroidism. 5) Kidney and liver diseases. 6) Breast masses. 7) Breast/chest stimulation. I presume your doctors have ruled out these causes of high prolactin ( noted that MRI was normal). We need to find the cause of elevated prolactin before starting treatment. What symptoms do you have? Any breast discharge/irregular periods/infertility/headaches/blurred vision. ? If you have none of the above problems, there is no need of treatment at your current levels of prolactin. If cabergoline is not available, the other option is Bromocriptine. Regards Binu