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Galactorrhea is defined as milky discharge from breast in men or women who are not breastfeeding for more than one year. It may result from excessive secretion of prolactin from anterior pituitary or from increased sensitivity of breast tissue to prolactin. There are many causes of hyperprolactinemia and galactorrhea and the most sinister being pituitary tumours. Occasionally certain drugs can cause hyperprolactinemia leading to galactorrhea and irregular menstrual cycles. Levosulpiride which is commonly used for its antiemetic and antidyspeptic actions can also rarely cause hyperprolactinemia and galactorrhea. We present a case of galactorrhea in a female of 35 years who was on treatment for dyspeptic symptoms with a combination of pantoprazole and levosulpiride, which subsided after stopping the offending drug. Critical review of prescription in dealing with a case of galactorrhea can avoid unnecessary investigations. |
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IJMPR is an international open access source for a high quality and peer reviewed journal in the fields of Medical and Pharmaceutical Sciences. IJMPR publishes research papers across all academic disciplines in the fields of Medical, Pharmaceutical Sciences.