Hello, I have schizophrenia and I take the drug solian which increases my prolactin level almost 5x above the norm. I am looking for a drug that will lower the level of prolactin only so that this drug is not a dopamine agonist because, as it happens in my disease, I have to keep dopamine as low as possible. Changing psychotropics is not an option because I have been set on medication for a long time and this one suits me best.
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Olga Sierpniowska Pharmacist, Editor
17 months ago
Hyperprolactinemia therapy involves the administration of dopamine receptor agonists. There are not, or at least I am not aware of other options for pharmacological therapy of excessive secretion of prolactin. In the case of drug-induced hyperprolactinemia, it is reversible - the solution may be to discontinue drugs that increase the concentration of prolactin, change their dose or replace them with others that do not affect the level of prolactin. In the case of schizophrenia therapy, complete discontinuation of drugs is of course inadvisable, but you can try to change to atypical neuroleptics. In cases where dose reduction or replacement of a given antipsychotic drug is inadvisable (you wrote that "it is not an option"), the psychiatrist may decide to maintain the current treatment, but the patient should remain under the care of an endocrinologist. In such a situation, you can only alleviate the symptoms of hyperprolactinemia by the addition of other drugs. For example, if the patient has symptoms of hypogonadism, sex hormone replacement therapy may be considered, or in case of potency problems, an erection medication may be added. The result of the prolactin concentration is best discussed with a psychiatrist who will decide on the most appropriate course of action in your individual case: https://www.gdziepolek.pl/artykuly/jak-i-dlaczego-zglaszac-dzialania-niepozadane I enclose additional information about Solian, which can be booked online and collected stationary upon presentation of a prescription: https://www.gdziepolek.pl/produkty/72586/solian-tabletki/apteki/w-warszawie Our studies may also be interesting: https://www.gdziepolek.pl/artykuly/jak-zyc-ze-schizofrenia https://www.gdziepolek.pl/kategorie/leki-na-schizofrenie