- Confirm that the cause of the hyperprolactemia is due to anti-psychotics and not due to a physical cause such as a prolactinoma, and once confirmed,
- Clinically assess if the person can still do well with a lower dose of the existing anti-psychotic medication and/or
- Switching to another antipsychotic that carries a low risk of hyper-propactinemia. E.g. Second-generation antipsychotics (SGAs), especially olanzapine, quetiapine, or even clozapine.
Dr Terence Leong
MBBS, MMed (Psychiatry), FAMS
#09-22/23 Novena Medical Centre
10 Sinaran Drive, Singapore 307506