The use of domperidone as a galactagogue was first described in 1983.10 This property results from its antidopaminergic effect on D2 receptors of the lactotropic cells of the anterior pituitary gland, bearing in mind that dopamine is the main inhibitor of prolactin release.11 In a randomized clinical trial, the prolactinemia of treated women (n = 24) increased by 302% compared to 85% in control women (n = 21) (P = .03) after 4 days of domperidone treatment (10 mg, 3 times a day). After 14 days of domperidone treatment, the increase of the prolactinemia was only 107% in treated women compared to 17% in control women (P = .07).12 Galactorrhea following domperidone treatment remains, however, a rare adverse drug reaction (frequency: > 1/10 000 and < 1/1000).8
The use of domperidone as a galactagogue was first described in 1983.10 This property results from its antidopaminergic effect on D2 receptors of the lactotropic cells of the anterior pituitary gland, bearing in mind that dopamine is the main inhibitor of prolactin release.11 In a randomized clinical trial, the prolactinemia of treated women (n = 24) increased by 302% compared to 85% in control women (n = 21) (P = .03) after 4 days of domperidone treatment (10 mg, 3 times a day). After 14 days of domperidone treatment, the increase of the prolactinemia was only 107% in treated women compared to 17% in control women (P = .07).12 Galactorrhea following domperidone treatment remains, however, a rare adverse drug reaction (frequency: > 1/10 000 and < 1/1000).8
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