#caberlin

A 29 year old patient married for 5 years presented with irregular cycles, obesity and primary infertility of 5 years. On examination she was hypertensive with BP 190/110mm HG, Ht- 180cm, Wt-120kg BMI, 37.3Kg/m2 SFSH- 6.2iu/l, LH- 9.2IU/L, S prolactin- 191ng/ml (5-29ng/ml), Thyroid function test was normal, s.cortisol-5(wnl), SDHES-WNL, GTT-within normal limits, postprandial insulin 56u-wnl, s testosterone was 0.6ng/ ml (0.2- 0.8ng/ml). ACTH was increased to 56pu/ml. Hence low dose and high dose dexamethasone suppression was done which was within normal limits.

Authored by  Kulvinder Kaur

Cabergoline Brand Names: Canada CO Cabergoline; Dostinex® Pharmacologic Category Ergot Derivative Dosing: AdultHyperprolactinemic disorders: Oral: Initial dose: 0.25 mg twice weekly; the dose may be increased by 0.25 mg twice weekly up to a maximum of 1 mg twice weekly according to the patient’s serum prolactin level. Dosage increases should not occur more rapidly than every 4 weeks. Once a…