Hyperprolactinemia and possibly related development of prolactinoma during amisulpride treatment; three cases.
Schizophrenia is a chronic and debilitating psychotic mental disorder that affects about 1% of the world's population. Antipsychotic drugs are the mainstay of treatment in schizophrenia. Hyperprolactinemia, which is a common side effect of typical antipsychotics, is also associated with the use of some of the newer atypical agents. Antipsychotics may enhance prolactinoma growth as manifested by an increase in serum prolactin concentration. Prolactin-secreting pituitary adenomas possibly related with antipsychotics have been described in the literature. To our knowledge, this is the first series of cases showing a possible relation between pituitary adenomas and amisulpride treatment in patients with schizophrenia.
Akkaya
C
C
Medical Faculty, Psychiatry Department, Uludag University, Bursa, Turkey . cakkaya@uludag.edu.tr
Kaya
B
B
Kotan
Z
Z
Sarandol
A
A
Ersoy
C
C
Kirli
S
S
D000328:Adult; D000077582:Amisulpride; D014150:Antipsychotic Agents / Q000009:adverse effects*; D001921:Brain / Q000473:pathology; D005260:Female; D006801:Humans; D006966:Hyperprolactinemia / Q000139:chemically induced*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000139:chemically induced*; D011388:Prolactin / Q000097:blood; D015175:Prolactinoma / Q000139:chemically induced*; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000150:complications / Q000188:drug therapy; D012565:Schizophrenic Psychology; D013469:Sulpiride / Q000009:adverse effects / Q000031:analogs & derivatives*
D014150:Antipsychotic Agents; D013469:Sulpiride; D000077582:Amisulpride; D011388:Prolactin