Hyperprolactinaemia and antihypertensive effect of bromocriptine in essential hypertension. Identification of abnormal central dopamine control

Lancet. 1977 Jul 30;2(8031):211-4. doi: 10.1016/s0140-6736(77)92832-x.

Abstract

Plasma-prolactin concentration was up to four times higher in male patients with essential hypertension than in normotensive controls. Oral administration of bromocriptine, a dopaminergic agonist, suppressed plasma-prolactin and lowered arterial pressure. It is proposed that in the hypertensive patients the raised prolactin levels reflect a defect in central dopamine control which is normalised by bromocriptine. The antihypertensive effect of bromocriptine suggests that the dopaminergic system is involved in blood-pressure regulation and that reduced central dopaminergic activity may be a factor in the maintenance of essential hypertension.

MeSH terms

  • Adult
  • Antihypertensive Agents* / therapeutic use
  • Blood Pressure / drug effects
  • Bromocriptine / pharmacology*
  • Bromocriptine / therapeutic use
  • Dopamine / physiology*
  • Ergolines / pharmacology*
  • Humans
  • Hypertension / drug therapy
  • Hypertension / physiopathology*
  • Male
  • Prolactin / blood*
  • Sodium / urine

Substances

  • Antihypertensive Agents
  • Ergolines
  • Bromocriptine
  • Prolactin
  • Sodium
  • Dopamine