What is the treatment of choice for prolactinomas?

Updated: Mar 25, 2018
  • Author: Venkatesh Babu Segu, MD, MBBS, DM; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Treatment is indicated if mass effects from the tumor and/or significant effects from hyperprolactinemia are present. [2]  Bromocriptine (BEC) is generally considered to be the agent of choice in the treatment of prolactinoma because of its long track record and safety. As a dopamine (DA) agonist, it decreases the synthesis and secretion of PRL. [3] It also decreases the rate of tumor cell division and the growth of individual cells.


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