Manejo terapéutico de la hiperprolactinemia. Therapeutic management of hyperprolactinemia. Visits. J M. Cabezas Agrícolaa, J. Cabezas-Cerratoa. Num. Pages Manejo clínico de las hiperprolactinemias. Clinical management of hyperprolactinemia. Visits. Download PDF. La frecuencia de hiperprolactinemia en esta entidad es del 13 al 59% y los . Artículo. B. Farzati,G. Mazziotti,G. Cuomo,M. Ressa,F. Sorvillo,G. Amato.

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Few studies are available regarding the treatment of prolactinoma in postmenopausal patients. Treatment with dopamine agonists of patients with hyperprolactinemia induced by antipsychotics is highly controversial because of the risk of exacerbating clinical psychotic signs.

In PA due to bilateral adrenal disease, unilateral or bilateral adrenalectomy seldom artiiculo hypertension, necessitating continued mineralocorticoid receptor antagonist therapy.

Overt hypothyroidism is associated with accelerated atherosclerosis and coronary artery disease that may be attributable to diastolic hypertension, impaired endothelial function, and hypercholesterolemia. Some studies have mentioned the evidence on these facts and of the possible mechanisms causing the valvular affection.


Cardiac valve disease aortic and mitral regurgitation is frequent in acromegaly. Common causes of PA include unilateral autonomous adrenal adenoma, and unilateral or bilateral adrenal hyperplasia. Are you a health professional able to prescribe or dispense drugs? It is important to erform bone densitometry in these patients and to identify the cases of osteoporosis and to start opportune treatment. In the early stage of acromegaly, there is enhanced myocardial contractility, decreased systemic vascular resistance, increased cardiac output, and overall increased cardiac performance.


Others are lisuride, pergolide, quinagolide, terguride, and metergoline. Hormone-mediated cardiac changes should be considered when evaluating endocrine and cardiac patients. CiteScore measures average citations received per document published. Comparison of cabergoline and bromocriptine in patients with asymptomatic incidental hyperprolactinemia undergoing ICSI-ET.

Association of systemic and thyroid autoimmune diseases. Side effects associated with these drugs artlculo nausea, vomiting, headache, constipation, dizziness, faintness, depression, postural hypotension, digital vasospasm, and nasal stuffiness.

[Current diagnosis and treatment of hyperprolactinemia].

Catecholamine-induced cardiomyopathy has been shown to improve after surgical articuulo of pheochromocytoma. Actual serum prolactin level is the result of a complex balance between positive and negative stimuli derived from both external and endogenous environments. It is important to erform bone densitometry in these patients and to identify the cases of osteoporosis and to start opportune treatment. Drugs five years later. High T 4 doses hiperprlactinemia often required because amiodarone decreases deiodinase activity, resulting in decreased conversion of T 4 to the active form, T 3.

In kidney and liver failure, PRL levels may be increased due to decreased clearance.

Resumption of the dopamine agonist is probably less harmful for the mother and fetus than surgery. It acts directly on peripheral tissues via interaction with the GH receptor, and indirectly via stimulation of insulin-like growth factor type 1 IGF-1 synthesis. Rheumatology Oxford40pp.

Are you a health professional able to prescribe or dispense drugs? Inhibitory effects of antivascular endothelial growth factor strategies in experimental dopamine-resistant prolactinomas. In addition, the presence of macroprolactin has been documented in patients with tumors.

Clin Rheumatol, 15pp.

Alteraciones endocrinas en la esclerosis sistémica | Reumatología Clínica

From Monday to Friday from 9 a. Etiology of hyperprolactinemia[ 11 ]. The treatment of drug-induced hyperprolactinemia should be artuculo to symptomatic patients in hipwrprolactinemia the concerned drug cannot be discontinued or replaced.


Hyperprolactinemia may therefore be not only due to tumor hypersecretion, but also because of various physiological and pathological conditions, and also due to multiple drugs which alter dopamine production, transport, or action. Weekly assessment of progesterone is the most popular method to confirm resumption of ovulatory function in oligo or amennorrhic women.

The Endocrine System and the Heart: A Review

See text for considerations on MRI and visual field monitoring and treatment discontinuation in patients with microprolactinoma and macroprolactinoma. Sem Arthritis Rheum, 34pp. Pathologic observations in systemic sclerosis scleroderma. Clin Endocrinol Oxf54pp. One hormone or two?. Vaginal cabergoline in the treatment of hyperprolactinemic patients intolerant to oral dopaminergics.

Thus, primary hypothyroidism may be associated with mild hyperprolactinemia that reverts upon the normalization of thyroid function with levothyroxine. LVH has been associated with hyperthyroidism. Since the initial management of microprolactinoma and persistent idiopathic hyperprolactinemia will be similar, a more intensive search for microadenomas is not required when they are not evident in this examination.

Medullary thyroid carcinoma as manifestation of the loss of Nine issues are published each year, including mostly originals, reviews and consensus documents.