The use of bromocriptine in the management of non-puerperal mastitis

Nineteen patients with unspecific non-puerperal mastitis were treated exclusively by bromocriptine (BC) without administration of antibiotics. The analysis of breast symptomatology revealed that each patient exhibited benign breast disease. Four patients suffered from mastodynia, two of them were in puberty and two were taking oral contraceptives. In eight non-pregnant and two pregnant patients inappropriate lactation constantly or temporarily was present. One of them had a milk duct fistula. In four patients plasma-cell mastitis was diagnosed. One patient developed macromastia during pregnancy. The patients were treated initially with 7.5 mg BC/day for 3 days followed by 5 mg BC/day for a further 11 days. Five patients with inappropriate lactation developed small subcutaneous abscesses, which perforated spontaneously. In all other cases inflammation disappeared without complications. Non of the patients exhibited malignancy criteria.