Hyperprolactinemia (antipsychotic-induced)
- Confirm symptoms + prolactin and exclude other causes
- Reduce dose or switch to prolactin-sparing antipsychotic
- Adjunct aripiprazole often lowers prolactin
- Treat hypogonadism/bone consequences when persistent
- MRI if level/pattern suggests pituitary disease
- Do not use dopamine agonist reflexively in psychosis
Use at a glance
- Confirm symptoms + prolactin and exclude other causes
Treatment options
- Reduce dose or switch to prolactin-sparing antipsychotic
- Adjunct aripiprazole often lowers prolactin
Choosing treatment
- Treat hypogonadism/bone consequences when persistent
- MRI if level/pattern suggests pituitary disease
Safety / pitfalls
- Do not use dopamine agonist reflexively in psychosis
Self-check
- Which persistent consequences of antipsychotic hyperprolactinemia need treatment?
Hypogonadism/bone consequences. - What is confirmed before treating antipsychotic hyperprolactinemia?
Symptoms + prolactin and exclude other causes.
Drugs used for this (1)
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