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Basically my question is should i worry about prolactin elevation on amisulpride ?

Is prolactin elevation on amisulpride equivalent to paliperidone/risperidone ?

Also since it prolongs qtc interval, does anybody done any ECG test while they were on amisulpride ? Was the test result normal ?

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I can't answer as to whether it is equivalent to risperidone, as I have not taken that med.  However, I was on solian many years ago and only very briefly because it caused lactation almost immediately.  I have never experienced anything similar to that before or since - it was awful.  However, I should add the usual "your mileage may vary".  You may not necessarily repeat my experience.

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All I know is that at high doses it elevates prolactin. My pdoc was considering using it to augment my current AP at a low dose. She thought it wouldn't affect prolactin then.

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Since you are not going to grow tits at once why not try it and keep an eye on your prolactin level via the blood test ? Guys don't want a high prolactin level for several reasons. Sexual dysfunction is one of them.

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Took this med for a month. Great med, but prolactin elevation was a problem, even in low doses.

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Posted (edited)
13 minutes ago, notloki said:

Since you are not going to grow tits at once why not try it and keep an eye on your prolactin level via the blood test ? Guys don't want a high prolactin level for several reasons. Sexual dysfunction is one of them.

I took amisulpride 50-100mg for a week, my prolactin shot up from 9 ng/ml to 54 ng/ml (2-17). 17 is the max normal level. I stopped it

Edited by clinic

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3 hours ago, clinic said:

I took amisulpride 50-100mg for a week, my prolactin shot up from 9 ng/ml to 54 ng/ml (2-17). 17 is the max normal level. I stopped it

That high a level would interfere with sperm and testosterone production in males. Prolactin acts on the testicules.

Here in the US some docs give a low dose of Abilify, which lowers prolactin to patients taking AP's that cause hyperprolactinemia.

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13 hours ago, notloki said:

That high a level would interfere with sperm and testosterone production in males. Prolactin acts on the testicules.

Here in the US some docs give a low dose of Abilify, which lowers prolactin to patients taking AP's that cause hyperprolactinemia.

True. The problem is abilify makes me more psychotic otherwise i would have already started risperidone + abilify. I can take max risperidone 0.5mg that might increase prolactin very little bit.

Edited by clinic

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