prolactin level 165 scared please answer

[sue3708]

I am a 37 year old female.  I have been feeling ill for months.  I started to notice a cyclical pattern to my sx'x and asked my PCP to check my hormone levels.  My prolactin came back 165.  I was on 10mg of prozac up until the day of the test for one week only and I take prevacid everyday and reglan PRN.  I took 5 mg of reglan 2.5 hours before the test.  I feel awful dizzy, nauseous, no appetite etc.  My ears feel all plugged up.  I am waiting to get an appt with an endocrinologist.  I had a brain MRI 4.5 years abo that was normal but said my pituitary was slightly prominant.  I started to get hot flashed while on the prozac.  Could all my medication have caused this?  Am i going to be all right.  I am very frightened.  The other hormones he checked were ok.  Thyroid is fine etc

[Mark Lupo, M.D.]

The prozac and reglan increase the prolactin -- would try to stop these (with the direction of your doctor) and re-evaluate in 4 weeks.  The reglan is the more likely problem, so would try to stop that first.  Also, consider repeat MRI to exclude a pituitary problem.  Most of these cases are easy to evaluate and treat - yes, you should be fine.

[sue3708]

Thank you so much for your input.  I don't know how long it will take to get into the Endo. and i needed some reassurance.  My doctors are aware that i stopped the medications.  Although now I am having great difficulty eating because of the nausea.  I also have zofran on hand if needed.  Thankyou again, you do a great service.

Sue