Andersen O P, Hansen P, Madsen H
Acta Obstet Gynecol Scand. 1981;60(3):341-2. doi: 10.3109/00016348109158145.
Secondary amenorrhea, elicited by metoclopamide (PrimperanR) induced hyperprolactinemia, was found in a 24-year-old woman. Withdrawal of the drug was followed by normalization of the hyperprolactinemia, as well as the menses. For many years metoclopamide (PrimperanR) has been used for various dyspeptic inconveniences, such as gastro-esophageal reflux, ventricular rentention and postoperative tarm-atom. Well-known secondary effects are reported to be drowsiness, uneasiness, restlessness and extra-pyramidal secondary effects in the form of acute dystom. The present case of secondary amenorrhea caused by metoclopamide (PrimperanR) induced hyperprolactinemia has been verified clinically, serologically and by treatment.
一名24岁女性出现由甲氧氯普胺(胃复安)诱发的高催乳素血症引起的继发性闭经。停用该药物后,高催乳素血症以及月经恢复正常。多年来,甲氧氯普胺(胃复安)一直用于治疗各种消化不良不适,如胃食管反流、胃潴留和术后胃肠蠕动紊乱。据报道,其常见的副作用包括嗜睡、不适、烦躁不安以及以急性肌张力障碍形式出现的锥体外系副作用。由甲氧氯普胺(胃复安)诱发的高催乳素血症导致继发性闭经的本病例已通过临床、血清学及治疗得到证实。