GALACTORRHOEA

drugs:

dopamine receptor blockers:

phenothiazines

metoclopramide

sulpiride

thioxanthines

cinnarizine

butyrophenones

pimozide

dopamine-depleting agents:

reserpine

methyldopa

others:

oestrogens

narcotics

hyperprolactinaemia:

prolactinoma [usually microadenoma; very high PRL levels]

hypothalamic or stalk lesions [loss of dopaminergic inhibition of PRL]

renal failure [decreased PRL excretion]

primary hypothyroidism [high TRH causes PRL secretion]

physiological:

pregnancy and post-partum period

neonatal period

stress and exercise

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