title: Emerging Hyperprolactinemic Galactorrhea in Obsessive Compulsive Disorder with a Stable Dose of Fluoxetine.
abstract: While fluoxetine (FXT) is a frequently prescribed selective serotonin reuptake inhibitor (SSRI), with few major side-effects; altered serotonergic transmissions in hypothalamic pathways might lead to a distressing, and often embarrassing, manifestation of galactorrhea by altering prolactin release in those on FXT. We report here a case of FXT-induced hyperprolactinemic galactorrhea developing late into treatment on a stable regimen, who responded well to subsequent replacement with sertraline. Based on present finding, we suggest that while SSRIs may share similar mechanisms of action, there exist individual differences in their effects on prolactin secretion pathways.
authors.affiliation: Department of Psychiatry, Medical College, Kolkata, India.
authors.forename: Seshadri Sekhar
authors.initials: SS
authors.lastname: Chatterjee
authors.affiliation: Department of Psychiatry, Sarojini Naidu Medical College, Agra, India.
authors.forename: Sayantanava
authors.initials: S
authors.lastname: Mitra
authors.affiliation: Department of Psychiatry, Medical College, Kolkata, India.
authors.forename: Nitu
authors.initials: N
authors.lastname: Mallik
keywords: Fluoxetine; Galactorrhea; Hyperprolactinemia; Selective serotonin reuptake inhibitors