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It's been over a year since medication
I have been diagnosed with schizophrenia, anxiety, and depression, and I am currently taking prescribed medication. Recently, I have been experiencing low mood, anxiety, irritability, and difficulty concentrating. I have also had side effects including elevated prolactin levels, breast milk discharge, irregular periods, weight gain, and excessive sleepiness. These symptoms have been affecting my daily life, work, and studies, and I am continuing treatment under the care of my psychiatrist
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You should discuss these side effects with your psychiatrist as soon as possible. Elevated prolactin (breast milk discharge, irregular periods), weight gain, and excessive sleepiness can occur with some antipsychotics, and your treatment may need adjustment. Do not stop or change your medications on your own.
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These are classic antipsychotic side effects â elevated prolactin causing breast milk discharge and irregular periods points to your current medication (likely risperidone or similar). This needs urgent discussion with your psychiatrist. They may switch you to a prolactin-sparing option like aripiprazole. Don't stop medication on your own.
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Consult me on Practo, but this specifically needs your psychiatrist to review and adjust.
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Hello mam !
Your symptoms of low mood and other depressive symptoms are negative symptoms in schizophrenia. After using higher doses for longer duration the antipsychotic medication will decrease schizophrenic symptoms but may give rice to negative. And also irregular periods and milk discharge are alo symptoms of increased doses of antipsychotic
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Better consult your psychiatrist or any other psychiatrist for adjustment of doses
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Dont worry your symptoms are probably drug related . As soon as doses adjusted your symptoms will subside
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Dr. Mrinal Gautam
Psychiatrist
3 yrs exp
Kolhapur
The combination of symptoms you are experiencing—specifically elevated prolactin (hyperprolactinemia), breast milk discharge (galactorrhea), irregular periods, weight gain, and excessive daytime sedation—is a classic profile of side effects from D2-receptor-blocking antipsychotic medications (such as Risperidone, Paliperidone, or Amisulpride).
Antipsychotics block dopamine pathways in the tuberoinfundibular tract of the brain. Because dopamine naturally suppresses prolactin release, blocking dopamine causes prolactin levels to rise, leading to menstrual irregularities and galactorrhea. Furthermore, histamine and serotonin blockade from these medications can drive sedation and weight gain.
Meanwhile, your emerging low mood, irritability, anxiety, and concentration difficulties may represent breakthrough mood/cognitive symptoms or post-psychotic depression.
Next Steps
Consult Your Treating Psychiatrist for Medication Optimization: Schedule an appointment promptly to review these specific side effects. Your doctor has several safe, effective options:
Switching to a Prolactin-Sparing Antipsychotic: Transitioning to medications with a lower risk of hyperprolactinemia and sedation (such as Aripiprazole, Brexpiprazole, or Quetiapine).
Adding Low-Dose Aripiprazole: Adding a small dose of Aripiprazole (a partial dopamine agonist) can effectively lower prolactin levels while maintaining antipsychotic stability.
Obtain Baseline Laboratory Work: Request a blood panel including serum prolactin levels, thyroid function tests (TSH/Free T4), fasting blood glucose, and lipid profile to assess metabolic and endocrine parameters.
Routine Gynecological Evaluation: Discuss your menstrual irregularities with a gynecologist to rule out secondary pelvic issues while your psychiatric medication is adjusted.
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Never abruptly stop or change your prescribed antipsychotic medication on your own. Abrupt discontinuation can trigger a severe relapse of psychotic symptoms, withdrawal dyskinesia, or severe rebound anxiety. Any dose modification or drug switch must be done gradually under direct psychiatric supervision.
Address Sleepiness and Metabolic Changes: Discuss adjusting the timing of your dose (e.g., taking more sedating doses at bedtime) and working with a nutritionist to manage weight changes safely.
Track Your Symptoms Daily: Keep a simple log of your sleep hours, period dates, mood changes, and any physical symptoms to help your psychiatrist make precise adjustments during your next visit.
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Dr. Sunil Nagar
General Physician
18 yrs exp
Rewa
you are already under the care of a psychiatrist, I recommend discussing these concerns during your next follow-up.
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kindly connect
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