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Bromocriptine or Cabergoline

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  • Bromocriptine or Cabergoline

    Hi,
    I have a reoccurring prolactinoma that is 12mmx12mm and am currently breastfeeding my 2month old. The Neurosurgeon is meeting with a team to discuss my treatment options. As I understand it, we are either going to do medicine (Bromocriptine or Cabergoline) or Gamma Knife Radiosurgery. I want to continue to breastfeed and I know that these medications inhibit the prolactin needed to breastfeed. I have read that you can continue to breastfeed if the medications are given in small doses. Do you recommend one medicine over the other? I would love as much information as I can get on the subject to bring to my Endocrinologist. Also, if they decide to do the Gamma Knife Radiosurgery will I have to stop breastfeeding? And if so, for how long? Thanks you for your help.

  • #2
    ESF12:

    I have been in contact with several mothers who used cabergoline in low doses and remained breastfeeding. Bromocriptine is more hazardous as it has a number of side effects. It is never recommended today in "breastfeeding" mothers or in mothers to reduce or stop their milk supply. It is however, commonly used by endocrinologists to suppress hyperprolactinemia associated with prolactinomas. I imagine because it is cheaper than cabergoline.

    I'd suggest you speak with your doctor and titrate your prolactin levels into the 100-200 ng/mL range which will support continued milk production.


    Tom Hale Ph.D.

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