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What Causes Elevated Serum Prolactin Levels?
Question: Hello doctor,
I recently got my prolactin level checked and it was very high.of a level of 72.58 ng/ml. My lsh, fsh and tsh levels are in normal range.i suffer from chronic gerd and take medicines for it. My endocrinologist suggested that my Gastric meds would have caused the increased levels. He asked me to stop taking nexpro (esomeprazole) while putting me on cabgolin for a month. When can i resume taking nexpro tablets or should i stop it completely.
I recently got my prolactin level checked and it was very high.of a level of 72.58 ng/ml. My lsh, fsh and tsh levels are in normal range.i suffer from chronic gerd and take medicines for it. My endocrinologist suggested that my Gastric meds would have caused the increased levels. He asked me to stop taking nexpro (esomeprazole) while putting me on cabgolin for a month. When can i resume taking nexpro tablets or should i stop it completely.
Brief Answer:
My opinion about cabergoline
Detailed Answer:
Hello,
Thank you for the query and understand about your raised prolactin levels.
Why did you get the serum prolactin in the first place? Do you have milk/milk like substance oozing out of the breasts? Proton pump inhibitors like Esomeprazole are rarely reported to raise prolactin levels. The side effects of Ranitidine, Famotidine (have you taken them) are known to raise serum prolactin.
If I were your doctor I would have stopped using the suspected drug and would not start carbergoline if you do not have symptoms. Carbergoline is not indicated in drug induced or suspected prolactinemia.
So I think you better stop nexpro till the time the serum prolactin comes back to normal. You may take my opinion to your doctor.
My opinion about cabergoline
Detailed Answer:
Hello,
Thank you for the query and understand about your raised prolactin levels.
Why did you get the serum prolactin in the first place? Do you have milk/milk like substance oozing out of the breasts? Proton pump inhibitors like Esomeprazole are rarely reported to raise prolactin levels. The side effects of Ranitidine, Famotidine (have you taken them) are known to raise serum prolactin.
If I were your doctor I would have stopped using the suspected drug and would not start carbergoline if you do not have symptoms. Carbergoline is not indicated in drug induced or suspected prolactinemia.
So I think you better stop nexpro till the time the serum prolactin comes back to normal. You may take my opinion to your doctor.
Above answer was peer-reviewed by :
Dr. Deepak
I had heat flush and acne, so my gyn recommended a hormone test which indicated a high prolactin level. I do not have breast secretions. I have taken ranitidine in the past but not during the period the test was taken. I also take librax (chlordiazepoxide&clidinium bromide). I was advised to test my serum prolactin level after two months. Should i stop all sort of meds
Brief Answer:
Drug induced high serum prolactin a good possibility
Detailed Answer:
Hello,
Now it is clear that you had taken medicines that can increase the prolactin secretion from the brain. You had taken antipsychotics, ranitidine type medicines that could possibly increase prolactin.
I think it is better to stop these medicines but after letting your prescribing doctor know it. They can find alternatives.
Carbegoline, I am still not convinced in your case. It is better to take a second opinion from a different endocrinologist.
Thank you.
Drug induced high serum prolactin a good possibility
Detailed Answer:
Hello,
Now it is clear that you had taken medicines that can increase the prolactin secretion from the brain. You had taken antipsychotics, ranitidine type medicines that could possibly increase prolactin.
I think it is better to stop these medicines but after letting your prescribing doctor know it. They can find alternatives.
Carbegoline, I am still not convinced in your case. It is better to take a second opinion from a different endocrinologist.
Thank you.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you doctor.
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Detailed Answer:
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Above answer was peer-reviewed by :
Dr. Yogesh D
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