Prolactinoma

Posted On February 13, 2020

Initial therapy with dopamine agonists

• Cabergoline
  • 0.25 mg twice weekly; the dose may be increased by 0.25 mg twice weekly up to a maximum of 1 mg twice weekly according to the patient’s serum prolactin level.
• For woman who wishes to become pregnant, bromocriptine might be better
• There is more evidence that bromocriptine does not cause birth defectsdata to-date suggest that cabergoline is also safe in early pregnancy
• Bromocriptine
  • 1.25 mg after dinner or at bedtime for one week, then bid