A Case of Galactorrhea Associated with Excitalopram.
- Author:
Se Hoon SHIM
1
;
Yeon Jeong LEE
;
Eun Chan LEE
Author Information
1. Department of Psychiatry, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Korea. shshim2k@korea.com
- Publication Type:Case Report
- Keywords:
Escitalopram;
Depression;
Prolactin;
Galactorrhea;
Side effect
- MeSH:
Adult;
Antidepressive Agents;
Citalopram;
Depression;
Dopamine;
Female;
Galactorrhea;
Humans;
Pregnancy;
Prolactin;
Serotonin Uptake Inhibitors;
Synaptic Transmission
- From:Psychiatry Investigation
2009;6(3):230-232
- CountryRepublic of Korea
- Language:English
-
Abstract:
Escitalopram is one of the most popular selective serotonin reuptake inhibitors (SSRIs) in current use as a first-line treatment for depression. Escitalopram is well-tolerated and rarely associated with serious side effects. Endocrine and reproductive side effects of serotonergic antidepressants are uncommon and galactorrhea is very rarely mentioned among SSRI-related side effects. Serotonin-enhancing antidepressants may result in a rise in prolactin levels through suppression of dopamine neurotransmission. In the present study, we report a case of hyperprolactinemic galactorrhea associated with escitalopram. A 36-year-old woman developed galactorrhea after initiation of escitalopram for depression and was found to have an elevated prolactin level. Escitalopram was discontinued with resolution of the patient's galactorrhea and normalization of her prolactin level.
