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A 42-year-old female asked:

42. irregular periods. sertraline 200mg p/d. now sore breasts. one nipple erect for one mnth. now small amnt lactation. not pregnt.cause lactation?

2 doctor answers4 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Zoloft (sertraline) can cause: Breast enlargement, tenderness ; secretion of milk. However, can't say that this is the cause. Please seek medical evaluation for these symptoms.
Dr. Caroline Cribari
Psychiatry 23 years experience
See your doc: Some psychiatric medication, antidepressants and atypical neuroleptic medications, rarely can increase prolactin, which can lead to in irregular periods, lactation, tender breasts and firm, enlarged nipples. But you need a blood test to confirm elevated prolactin level and, if so, subsequent diagnostic radiology testing to confirm it is not from another cause. Call and see your doctor.

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Last updated Nov 27, 2017

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