Is Maternal Hyperprolactinemia compatible with breastfeeding? Do we have alternatives for Maternal Hyperprolactinemia?

Maternal Hyperprolactinemia

November 24, 2014 (Low Risk)

Hyperprolactinemia by itself is not a contraindication while breastfeeding. There is experience about long-lasting breastfeeding from 8 to 33 months long without encountering any problem (even when patients have taken Bromocriptine).

If because an increased level of prolactinemia it would require medication, it is preferred to use Bromocriptine or Lisuride instead of Cabergoline because a lesser storage in blood, lesser passage to breast milk and poor absorption by the infant, even though, they are worst tolerated by the mother.

Alternatives

We do not have alternatives for Maternal Hyperprolactinemia.

Very Low Risk

Compatible. Not risky for breastfeeding or infant.

Low Risk

Moderately safe. Mild risk possible. Follow up recommended. Read the Comment.

High Risk

Poorly safe. Evaluate carefully. Use a safer alternative. Read the Comment.

Very High Risk

Not recommended. Cessation of breastfeeding or alternative.

Synonyms

  • Maternal Prolactinoma
  • Pituitary Adenoma

References

  1. Serrano Aguayo P, García de Quirós Muñoz JM, Bretón Lesmes I, Cózar León MV. Tratamiento de enfermedades endocrinológicas durante la lactancia. [Endocrinologic diseases management during breastfeeding.] Med Clin (Barc). 2015Abstract
  2. Domingue ME, Devuyst F, Alexopoulou O, Corvilain B, Maiter D. Outcome of prolactinoma after pregnancy and lactation: a study on 73 patients. Clin Endocrinol (Oxf). 2014Abstract
  3. Auriemma RS, Perone Y, Di Sarno A, Grasso LF, Guerra E, Gasperi M, Pivonello R, Colao A. Results of a single-center observational 10-year survey study on recurrence of hyperprolactinemia after pregnancy and lactation. J Clin Endocrinol Metab. 2013Abstract Full text (link to original source) Full text (in our servers)
  4. Shahzad H, Sheikh A, Sheikh L. Cabergoline therapy for macroprolactinoma during pregnancy: a case report. BMC Res Notes. 2012Abstract Full text (link to original source) Full text (in our servers)
  5. Verma S, Shah D, Faridi MM. Breastfeeding a baby with mother on Bromocripine. Indian J Pediatr. 2006Abstract