Document Detail


Positive Prolactin Response to Bromocriptine in Two Patients with Cabergoline Resistant Prolactinomas.
MedLine Citation:
PMID:  21324816     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: To describe a positive prolaction response to bromocriptine treatment in two patients with cabergoline-resistant prolactinomas.Methods: The details of case presentation, evaluation, and clinical course are reviewed in two patients resistant to cabergoline therapy who responded to bromocriptine therapy.Results: Patient 1 was a 45-year-old woman whose prolactin remained elevated at 80 ng/mL (reference range, 2.3-26.7 ng/mL) on 0.5 mg daily of cabergoline, and then decreased to 13 ng/mL on bromocriptine 5 mg daily. Patient 2 was a 15 year-old girl whose prolactin remained elevated at 212 ng/mL on 1 mg three times weekly of cabergoline, and then decreased to 133 ng/mL on bromocriptine 10 mg daily.Conclusion: Although cabergoline is generally preferred to bromocriptine for the treatment of patients with prolactinomas because of its better tolerance profile and greater efficacy, in patients with cabergoline resistant prolactinomas a trial with bromocriptine should be considered as a safe, relatively inexpensive, and well-tolerated alternative.
Authors:
Pallavi Iyer; Mark E Molitch
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-2-16
Journal Detail:
Title:  Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists     Volume:  -     ISSN:  1934-2403     ISO Abbreviation:  -     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-2-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9607439     Medline TA:  Endocr Pract     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-11     Citation Subset:  -    
Affiliation:
Department of Pediatrics, Division of Endocrinology, Diabetes, and Metabolism, University of South Florida, All Children's Hospital, Tampa, FL.
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