ea0063p288 | Pituitary and Neuroendocrinology 1 | ECE2019
Allard Lucie
, Albarel Frederique
, Bertherat Jerome
, Caron Philippe
, Christine Cortet-Rudelli
, Carine Courtillot
, Delemer Brigitte
, Jublanc Christel
, Maiter Dominique
, Nunes Marie-Laure
, Raverot Gerald
, Salenave Sylvie
, Sarfati Julie
, Chanson Philippe
Dopamine agonists (DAs), used as first line therapy in patients with macroprolactinomas, and antipsychotics have opposite effects on dopamine receptors (D2R). In patients with severe psychiatric conditions treated with antipsychotics, the rare occurrence of a macroprolactinoma, particularly with optic chiasm compression, represents a therapeutic challenge. Indeed, on one hand, antipsychotics by their antagonistic effect on D2R, could decrease or even abolish the effects of DAs...