Bhattacharjee Subir, Biswas Ranjan, Mandal Nikhiles
Department of Psychiatry, Deben Mahata Government Medical College and Hospital, Purulia, West Bengal, India.
Department of Psychiatry, Bankura Sammilani Medical College and Hospital, Bankura, West Bengal, India.
Indian J Psychiatry. 2021 Nov-Dec;63(6):613-616. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_206_21. Epub 2021 Dec 3.
Galactorrhea in nonpregnant woman of child-bearing age is related to various pathologies including the use of psychotropic. Although common with antipsychotics, galactorrhea with antidepressants was infrequent. Previously reported cases of galactorrhea were mostly with combined antidepressants and cases of galactorrhea with paroxetine and fluvoxamine were with normal serum prolactin level. We reported three cases of galactorrhea, one with single use of paroxetine and other two with fluvoxamine with elevated serum prolactin level in all three cases.
育龄非妊娠女性的溢乳与包括使用精神药物在内的多种病理情况有关。虽然溢乳在使用抗精神病药物时很常见,但在使用抗抑郁药物时并不常见。先前报道的溢乳病例大多是联合使用抗抑郁药物,而帕罗西汀和氟伏沙明导致溢乳的病例血清催乳素水平正常。我们报告了3例溢乳病例,1例单独使用帕罗西汀,另外2例使用氟伏沙明,所有3例血清催乳素水平均升高。