KMID : 1118520090060030230
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Psychiatry Investigation 2009 Volume.6 No. 3 p.230 ~ p.232
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A Case of Galactorrhea Associated with Excitalopram
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Shim Se-Hoon
Lee Yeon-Jeong Lee Eun-Chan
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Abstract
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Escitalopram is one of the most popular selective serotonin reuptake inhibitors (SSRIs) in current use as a first-line treatment for depression. Escitalopram is well-tolerated and rarely associated with serious side effects. Endocrine and reproductive side effects of serotonergic antidepressants are uncommon and galactorrhea is very rarely mentioned among SSRI-related side effects. Serotonin-enhancing antidepressants may result in a rise in prolactin levels through suppression of dopamine neurotransmission. In the present study, we report a case of hyperprolactinemic galactorrhea associated with escitalopram. A 36-year-old woman developed galactorrhea after initiation of escitalopram for depression and was found to have an elevated prolactin level. Escitalopram was discontinued with resolution of the patient¡¯s galactorrhea and normalization of her prolactin level.
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KEYWORD
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Escitalopram, Depression, Prolactin, Galactorrhea, Side effect
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