25th August 2020

A 43-year-old woman on methyldopa for hypertension has recently noticed milk secretion from her breasts

A 43-year-old woman on methyldopa for hypertension has recently noticed milk secretion from her breasts. Her GP suspects this is drug-induced hyperprolactinaemia and orders blood tests. Her results come back with a prolactin level of 1000 mU/L (range: <390 mU/L). Her GP decides to start her on Bromocriptine for her elevated prolactin levels.  

What is the most appropriate management option before starting her on the medication? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.