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质子泵抑制剂(PPI)诱发溢乳的风险:一种常用药物的罕见不良反应。

Risk of Proton Pump Inhibitor (PPI)-Induced Galactorrhea: An Uncommon Adverse Effect of a Common Drug.

作者信息

Sheikh Fezaan A, Khakhar Zamanali, Bhogal Gagandeep, Iyer Alok, Ali Sayed K

机构信息

Medicine, University of Western Australia, Perth, AUS.

Medicine, University of Nairobi, Nairobi, KEN.

出版信息

Cureus. 2025 Mar 23;17(3):e81050. doi: 10.7759/cureus.81050. eCollection 2025 Mar.

Abstract

Galactorrhea is a rare and atypical adverse effect associated with the use of proton pump inhibitors (PPIs). They are widely used in the management of acid-related disorders and have been proven to be effective. However, like all pharmacological therapies, PPI use is accompanied by a range of adverse effects. This case report details a 27-year-old female individual with no significant medical history who presented with galactorrhea. Upon further investigation, PPI-induced galactorrhea was confirmed and discontinuation of the medication resulted in the resolution of the condition. Complex interactions between the drug, various enzymes, and receptors have been postulated as potential mechanisms underlying the development of this condition. Chronic kidney disease has also been shown to augment the development of PPI-induced galactorrhea. Further research around the mechanism driving PPI-induced galactorrhea in patients is necessary to better enable healthcare professionals to provide accurate information concerning the side effect profile of PPIs and educate patients on informed decision-making regarding PPI therapy.

摘要

溢乳是与使用质子泵抑制剂(PPI)相关的一种罕见且非典型的不良反应。PPI被广泛用于治疗酸相关疾病,且已被证明是有效的。然而,与所有药物治疗一样,使用PPI会伴随一系列不良反应。本病例报告详细介绍了一名27岁、无重大病史且出现溢乳症状的女性个体。经进一步调查,确诊为PPI诱发的溢乳,停药后该症状得以缓解。药物、各种酶和受体之间的复杂相互作用被认为是导致这种情况发生的潜在机制。慢性肾病也已被证明会加剧PPI诱发溢乳的发生。有必要围绕PPI诱发患者溢乳的机制开展进一步研究,以便医护人员能够更好地提供有关PPI副作用的准确信息,并就PPI治疗的知情决策对患者进行教育。

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