Hi Steph,

Try the JCEM guidelines below.

Diagnosis and Treatment of Hyperprolactinemia: An Endocrine Society Clinical Practice Guideline J Clin Endocrinol Metab 96: 273–288, 2011

Liam Blake

Principal Clinical Biochemist

Galway Roscommon University Hospitals

Newcastle Road,

Galway

Ireland

+35391542709

http://www.guh.hse.ie/

From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Barber Stephanie (Pathology)
Sent: Monday, November 19, 2012 5:34 PM
To: [log in to unmask]
Subject: Prolactin with Anti-Psychotics

Dear All,

I have been approached by a community mental health pharmacist regarding their guidelines for anti-psychotic prescribing for GPs. He wondered whether there were any cut-offs in use around the country for action regarding hyperprolactinaemia in patients receiving these drugs?

Has anyone been involved in determining the level of prolactin at which to recommend changing medication or the possibility of a concomitant prolactinoma, in guidelines for prescribers? The BNF recommends regular testing, but that is about it.

Thanks in advance,

Steph

Dr Steph Barber

Consultant Clinical Biochemist

Clinical Pathology

Nottingham University Hospitals NHS Trust

0115 9249924 ext 63094 or 63411

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