Posted by AndrewB on November 28, 2000, at 4:04:07
In reply to To Scott, posted by natg on November 26, 2000, at 11:42:33
Bromocryptine is the drug most commonly used to deal with milk leakage, breast enlargement and irregular menses due to elevated prolactin levels.
You stated that your prolactin levels are normal, but considering the safety of bromo., it is worth a try anyway. Ask your doctor.
Note that bromo. has been combined with antipsychotics, of which Risperdal is one, to eliminate the above symptoms. If bromo. is successful, you can consider resuming risperdal or another antipsychotic (i.e. amisulpride).
Mirapex (pramipexole) may be a better choice than bromocryptine. Like bromo., it also lowers prolactin. It can be an effective AD on its own or in combo with SSRI whereas bromo., if it has an AD effect, tends to poop out. Mirapex also has been used to counter SSRI side effects.
Dosage varies but 5mg./day divided into three separate doses seems to be generally most effective. 6.25 mg/day is probably the upper limit.
It needs to be titrated up slowly to minimize its transitory side effects, namely nausea and headaches. Start at a dose of 1/4mg. and raise the dose by 1/4mg. each time after the side effects have subsided.
Lisuride, available from Europe, is effective when taken with Mirapex in eliminating the nausea.