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What Causes High Prolactin Level?
Hi doctor, I am 26 years old, recently married. Though I am not pregnant, I found my prolactin level to be high (37.2). My gynaecologist prescribed cabgolin 0.5 to be taken twice a week for 3 months to normalise the prolactin levels. I took my first tablet yesterday and found my head feeling heavy, dizziness and slight headache. I also collapsed today in the morning after waking up, with some shaking. Is this normal? Do I discontinue the dose or immediately stop? Please advise
Tue, 2 May 2023
Hi,
High prolactin levels, also known as hyperprolactinemia, can be caused by various factors such as medications, pituitary tumors, thyroid problems, kidney and liver disease, and certain types of tumors. In certain cases, the causes leading to hyperprolactinemia could be unknown.
In your case, your gynecologist has prescribed Cabgolin, which is a medication that helps lower prolactin levels. Cabgolin belongs to a class of medications called dopamine agonists that work by increasing the levels of dopamine in the brain, which in turn helps to lower prolactin levels.
The side effects of Cabgolin include dizziness, headache, and nausea, which are the symptoms you have reported. These side effects are generally mild and may go away on their own over time. However, if the symptoms persist or become severe, it is advisable to consult your doctor.
Collapsing and shaking after taking the medication may be a serious side effect, and you should immediately seek medical attention. It is important to inform your doctor of these symptoms and discuss whether the medication should be discontinued or the dose needs to be adjusted.
Overall, hyperprolactinemia is a treatable condition, and with proper treatment, most people can achieve normal prolactin levels. It is important to follow your doctor's instructions and attend regular check-ups to monitor your prolactin levels and response to treatment
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
High prolactin levels, also known as hyperprolactinemia, can be caused by various factors such as medications, pituitary tumors, thyroid problems, kidney and liver disease, and certain types of tumors. In certain cases, the causes leading to hyperprolactinemia could be unknown.
In your case, your gynecologist has prescribed Cabgolin, which is a medication that helps lower prolactin levels. Cabgolin belongs to a class of medications called dopamine agonists that work by increasing the levels of dopamine in the brain, which in turn helps to lower prolactin levels.
The side effects of Cabgolin include dizziness, headache, and nausea, which are the symptoms you have reported. These side effects are generally mild and may go away on their own over time. However, if the symptoms persist or become severe, it is advisable to consult your doctor.
Collapsing and shaking after taking the medication may be a serious side effect, and you should immediately seek medical attention. It is important to inform your doctor of these symptoms and discuss whether the medication should be discontinued or the dose needs to be adjusted.
Overall, hyperprolactinemia is a treatable condition, and with proper treatment, most people can achieve normal prolactin levels. It is important to follow your doctor's instructions and attend regular check-ups to monitor your prolactin levels and response to treatment
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician
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