2nd week on Risperidone and prolactin levels

Medications
1

Here’s week 1 on risperidone - Prolactin(Risperidone) blood report came

So it has been a week on risperidone 1mg and sadly prolactin has shot up from 21.59 ng/ml on 0.5mg risperidone to 35.89 ng/ml on 1mg risperidone. Max prolactin should be around 17, and right now its 35.89 on 1mg risperidone

Other than prolactin levels, I’ve been sleeping and tired too much on 1mg risperidone. I take entire dose at bedtime. I cant wake myself up at daytime even after drinking tea. I asked my pdoc what to do about this extreme drowsiness, he said i can try divided risperidone dose like 0.5mg in am and 0.5mg at bedtime.

Also my memory is too good on risperidone even on 0.5mg, i can recall stuff in seconds. Plus i think my working memory is improved as well, for example if i make list of items i wanna buy, i can recall them without looking at the list.

Right now I’m not sure if i wanna continue 1mg or not cuz prolactin levels are too high(35.89 ng/ml). Maybe I will reduce to 0.5mg

Any thoughts, please post.

2

My prolactine level 57.i m using paliperidone similar to risperidone. You shouldn t be worry about high prolactine. İ heard that its getting danger after 1000 or so.

3

Since how long u been taking paliperidone ? You got enlarged breasts ?

u male/female ?

4

Since 4 years. İ have gynecomastia surgery so i don t have enlarged breasts.male

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gynecomastia surgery because of paliperidone ? Thats what worries me about risperidone

6

You can be surgery. Enlarged breasts is not much problem. Treatment more important

7

No i used to have already gynecomastie before medicine. İ got surgery before i took paliperidone

8

why did u have Gynecomastia before medicine ? Tumor or somethhing ?

9

İ got surgery before medicine.its not a tumor. İts enlarged breast tissue.

10

İf you afraid of enlarged breast you could try abilify. İt doesn t cause this.

11

I become paranoid on abilify

12

Clozapine is doesn t cause enlarged breasts also as far as i know.

13

I already take clozapine 200mg. We added risperidone to improve cognition

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14

My nurse said aripiprazole lowers it. I might be having to go on it.

15

Yea it worsens my psychosis. I will try 2mg abilify again and see how it goes now

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16

@Wave @aliali Please post your thoughts

17

I would stick with risperidone if you feel it’s working for you.
35 prolactin is not at dangerous levels.

Speak to your doctor if you have concerns, see what they say.

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18

With 0.5mg of risperidon at am and 0.5mg at bedtime, you will not have a rush of risperidon in your blood and your prolactine level may decrease,
Also for tiredness and feeling sleepy, don’t forget that time will reduce or even cure them, wait at least for one month and then decide what to do,
Splitting the dosage is a good idea which you mentioned,

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19

Yea, my cognition is better on 1mg, but i dont want enlarged breasts.

I read somewhere prolactin elevating drugs increase your chances of developing breast cancer overtime

20

I understand why you would want to consider dropping the risperidone.
Although 35 prolactin level is not considered terribly high, it’s pretty high for just being on only 1mg of risperidone.
You also just started.

Discuss your options with your doctor.