Do you still consider changing atypical antipsychotics that are working well in children undergoing puberty if the prolactin levels are high but there are no symptoms of drug-induced hyperprolactinemia?

I consider the risk of osteoporosis if I believe it may be used long-term, even if asymptomatic. Typically, I warn parents of the risk but continue the medication if the prolactin is only mildly elevated. I find it rare to find an adult patient who is taking the same drugs they did in adolescence. L...

For drug-induced hyperprolactinemia, first, I typically want to make sure that it is the antipsychotic causing it. Generally, if so, the elevation is mild (two digits, mean 50s) and, if asymptomatic (which is more common), I monitor and educate the parent/child on the long-term possible effects of h...

I would not switch medication if prolactin is only mildly elevated and that patient is doing quite well with current treatment. I would advise be alert to the possibility that certain medications can cause delayed onset of puberty, which can be an insidious adverse effect, since puberty onset occurs...

Should not test for hyperprolactinemia if there are no symptoms. Low dose Abilify of 2 or 5 works if needed. I agree with some of the above.