title: Psychotic exacerbation attributed to low-dose bromocriptine treatment of galactorrhea and hyperprolactinemia.
abstract: Low-dose bromocriptine administered for antipsychotic drug-induced hyperprolactinemia and galactorrhea precipitated an acute psychotic state in a female patient. Discontinuation of the bromocriptine and increase in antipsychotic dosage resulted in complete remission. We advise caution in the use of bromocriptine especially in patients with a pre-existing psychiatric history and recommend monitoring for changes in mental status when bromocriptine is prescribed.
authors.affiliation: Department of Obstetrics and Gynecology, Misgav Ladach General Hospital, Jerusalem, Israel.
authors.forename: A
authors.initials: A
authors.lastname: Dorevitch
authors.forename: R
authors.initials: R
authors.lastname: Aronzon
authors.forename: M
authors.initials: M
authors.lastname: Stark
mesh_terms: D000208:Acute Disease; D000328:Adult; D001971:Bromocriptine / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D005687:Galactorrhea / Q000188:drug therapy*; D006801:Humans; D006966:Hyperprolactinemia / Q000188:drug therapy*; D011605:Psychoses, Substance-Induced / Q000209:etiology*; D012563:Schizophrenia, Paranoid / Q000188:drug therapy; D013881:Thioridazine / Q000627:therapeutic use
chemical_list: D001971:Bromocriptine; D013881:Thioridazine