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Re: Bromocriptine and pregnancyFrom: mjutras@gate.netWed Sep 21 10:49:33 2005
Once pregnancy is achieved bromocriptine is irrelevant and can be stopped. It does not matter if patient has a micro or macroadenoma. Micros don't grow and when macros do grow they let you know because of headaches or visual changes which resolve very rapidly after the bromocriptine is restarted. The reason there is experience with over 600 women taking bromocriptine when pregnant is we just did not know how to handle these patients in the 80s and did yearly CTs (with fibrosis in the brain by the 5th scan) and kept the bromocriptine going. By mid to late 80s we were cutting back on the scans and stopping bromocriptine. By late 80s we had stopped radiologic monitoring of microadenomas. You will still get some strange advise. It was established by the mid 80s that neurosurgery was largely ineffective for microadenomas but I just had a patient in last week who had a neurosurgeon tell her she should have it done but then didn't because he said X ray showed the transphenoidal path not to be safe. Mark Jutras, MD
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