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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A young female, Rama with amenorrhea, infeility and galactorrhoea was treated with a drug that successfully restored ovulation and menstruation. Before being given the drug, the woman was carefully questioned about previous mental health problems, which she did not have. She was advised to take the drug orally. The drug used to treat this patient was probably:
assistant
The correct answer is  Symptoms of the patient (amenorrhea, galactorrhea and infeility) points towards the diagnosis of Hyperprolactinemia. Bromocriptine--> D2 receptor agonist --> used in Rx(dopamine acts as prolactin release inhibiting hormone in the hypothalamus). Psychosis occurs due to excessive stimulation of D2 receptors (D2 blockers are used as typical antipsychotic drugs) and Bromocriptine can precipitate the symptoms in predisposed patients.