Prolactin Carlat Reports | Carlat Publishing

Clinical Update

Psychiatric Medication–Induced Hyperprolactinemia

From The Carlat Hospital Psychiatry Report, Minimizing Use of Restraints

Topics: Antipsychotics | endocrinological side effects | Prolactin

A 26-year-old female patient with schizophrenia tells you she is certain she is pregnant. You run a pregnancy test, which comes back negative, but she continues to insist that she is pregnant “because I haven’t had a period in three months.” She began risperidone 2 mg twice daily about four months earlier. You check her prolactin level, and it is

Expert Q&A

Sex-Based Treatment of Schizophrenia

From The Carlat Hospital Psychiatry Report, Metabolic Side Effects

CHPR: Dr. Kulkarni, you’ve written about sex-based differences in symptoms and prognosis of schizophrenia. What are some of these differences? Dr. Kulkarni: Compared to men, women with schizophrenia experience a more benign course of illness, including fewer psychiatric relapses and hospitalizations. They are more likely to be employed and married an

Research Update

Hyperprolactinemia: Effective Treatment With Aripiprazole

From The Carlat Hospital Psychiatry Report, Capacity Assessments

Topics: Aripiprazole | Prolactin

Review of: Zheng W et al, General Psychiatry 2019;32(5):e100091 Antipsychotic-induced hyperprolactinemia is a common adverse reaction contributing to treatment non-adherence. Male patients are embarrassed by the resulting breast enlargement, and female patients experience amenorrhea, infertility, and reduced bone density. We can bring prolactin level

Research Update

Vitamin B6 Lowers Prolactin on Antipsychotics

From The Carlat Psychiatry Report, Living With Mental Illness

REVIEW OF: Zhuo C et al, Front Psychiatry 2021;12:681418 STUDY TYPE: Randomized, double-blind trial with an active control Hyperprolactinemia, a common problem on antipsychotics, can cause multiple issues, including sexual dysfunction and gynecomastia. It is a particular problem in treatment-resistant schizophrenia (TRS), as these patients often need