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Re: Bromocriptine and pregnancy From: art fougner, md (evsono@pipeline.com) Wed Sep 21 10:56:09 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Atkinson, Samuel M: "Re: Bromocriptine and pregnancy" Previous message: mjutras@gate.net: "Re: Bromocriptine and pregnancy" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Bromocriptine and pregnancy" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Bromocriptine and pregnancy" Reply: Robert J. Carpenter, Jr. MD: "Re: Bromocriptine and pregnancy" >From Creasy & Resnick 4th ed ... Management of Patients harboring prolactinomas during gestation Microadenoma - asymptomatic patient - STOP bromocryptine Routine OB care with evaluation for symptoms of tumor expansion visual fields per trimester symptomatic patient - check visual fields serum prolactin MRI initiate bromocryptine w or w/o dexamthasone for visual complications surgery if unresponsive to medical therapy Macroadenoma - asymptomatic - STOP bromocryptine Monthly evaluation for symptoms of tumor expansion Monthly visual fields symptomatic - as for Microadenoma hope this helps art At Wed, 21 Sep 2005, Elrod Darryl G MAJ 48 MDOS/SGOBO wrote: > >I'm getting conflicting recommendations regarding the continued use of >bromocriptine once someone becomes pregnant. Up to Date says to stop it >once pregnancy is confirmed and Williams doesn't really say, but says >that 6000 women have taken it without adverse affects to the pregnancy. > >Does anyone have any better guidelines than these? > >Thanks, > >Glen > >//SIGNED// > >D. Glen Elrod, Maj., USAF, MC > >Obstetrician/Gynecologist > >Chief of Obstetrics > >48 MDOS/SGOBO > >RAF Lakenheath, England > >Telephone DSN: 314-226-8130 > > Comm: +44 (0) 1638 52 8130 > >Notice of Confidentiality >Under the Privacy Act of 1974, you must safeguard all information >reflected on this e-mail and, if applicable, all attachments. >Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI >37-132, AFI 33-219, and PL 93-579" >This e-mail message including any attachments is for the sole use of the >intended recipient(s) and may contain confidential and privileged >information. Any unauthorized review, use, disclosure or distribution is >prohibited. If you are not the intended recipient, please contact the >sender by reply e-mail and destroy all copies of the original message. >Any questions pertaining to disclosure should be directed to the privacy >officer. -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: Atkinson, Samuel M: "Re: Bromocriptine and pregnancy" Previous message: mjutras@gate.net: "Re: Bromocriptine and pregnancy" In reply to: Elrod Darryl G MAJ 48 MDOS/SGOBO: "Bromocriptine and pregnancy" Next in thread: Robert J. Carpenter, Jr. MD: "Re: Bromocriptine and pregnancy" Reply: Robert J. Carpenter, Jr. MD: "Re: Bromocriptine and pregnancy"

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