Hyperprolactinemia is a frequently observed condition among psychiatric patients. The causes of hyperprolactinemia can be varied. The most common one being antipsychotic medications and others may include conditions related to prolactin-secreting adenomas (prolactinomas). Dopamine Agonists (DAs) are medications that are commonly used for treating hyperprolactinemic states and prolactinomas. However, lately, there has been concern that DAs might carry a potential for aggravating the psychiatric illness, while antipsychotic medications have been condemned for aggravating hyperprolactinemic states. This review discusses the relationship between the two, and alternative treatment strategies to avoid these potentially serious interactions.
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