Journal of Investigative Medicine High Impact Case Reports (Jul 2021)

Recurrent Priapism From Cabergoline and Bromocriptine in a Hypogonadal Man With Prolactinoma

  • Lakshmi P. Menon MD,
  • Wedad Rahman MD

DOI
https://doi.org/10.1177/23247096211029750
Journal volume & issue
Vol. 9

Abstract

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Dopamine agonists are generally well tolerated and represent the first-line therapy for prolactinomas. We report a case of a 20-year-old man with a macroprolactinoma who developed recurrent priapism with cabergoline and bromocriptine. Transsphenoidal pituitary adenoma resection was done with normalization of the prolactin level. Priapism is a rare side effect of dopamine agonists that warrants discontinuation of therapy. Patients should be educated about this potential side effect at the time of prescribing the medication.