Hyperprolactinaemia
Hyperprolactinaemia means the blood carries more prolactin than normal. Prolactin is made by the pituitary gland at the base of the brain, and too much of it can disturb periods, reduce sex hormones, affect fertility or trigger breast milk outside pregnancy.
Key points
- A prolactinoma, a benign growth on the pituitary gland, is one recognised cause of excess prolactin.
- Certain other medicines can also raise prolactin levels as a side effect.
Medicines listed for Hyperprolactinaemia
The one product listed for hyperprolactinaemia is Dostinex, which contains cabergoline, a dopamine agonist that lowers prolactin by mimicking a natural brain chemical. It is a tablet in 0.25 mg and 0.5 mg strengths.
Further reading
What is hyperprolactinaemia?
Hyperprolactinaemia means the blood carries more prolactin than normal. Prolactin is made by the pituitary gland at the base of the brain, and too much of it can disturb periods, reduce sex hormones, affect fertility or trigger breast milk outside pregnancy.
What causes high prolactin levels?
A prolactinoma, a benign growth on the pituitary gland, is one recognised cause of excess prolactin. Certain other medicines can also raise prolactin levels as a side effect.
How is hyperprolactinaemia treated?
Cabergoline is a dopamine agonist that lowers prolactin by mimicking a natural brain chemical. Your doctor or pharmacist can advise on what is suitable for you.
What medication for hyperprolactinaemia can I buy online?
The medicines listed for hyperprolactinaemia include products containing cabergoline. Examples include Dostinex.
Do I need a prescription for medicines for hyperprolactinaemia in South Africa?
No, not online. Direct Meds does not ask for a prescription to order medicines for hyperprolactinaemia. We are a broker, not a dispensing pharmacy. We arrange orders and delivery with our affiliated supplier on your behalf.
Ordering without a prescription →Can I order medicines for hyperprolactinaemia online in South Africa?
Yes. Our affiliated supplier delivers across South Africa. Estimated delivery is 7 days with Express Delivery, which includes online tracking, or up to 3 weeks with Regular Delivery.
How ordering works →Related articles
22 Sept 2026 ⋅ 4 min read
Cabergoline and Dostinex: when high prolactin needs treatment
A high prolactin result does not always mean a tumour. Learn when cabergoline helps, why the cause matters, and which monitoring and side effects to discuss.
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