Hi,
The best way is to simply adjust the dose or type of antipsychotic. I suggest
- 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.
Best of luck,
Dr Terence Leong