Risperidone is known to cause high prolactin levels in adults and post pubescent children causing endocrine dysregulation and side effects such as galactoria. In pre-pubescent children the long term effects of high prolactin levels are not well studied. One study showed that over time the prolactin levels decrease over a span of a year. Sometimes adding a low dose of Abilify can decrease the high prolactin levels. This can be used especially if the child needs their primary anti-psychotic medication. This should be done under the supervision of a treating psychiatrist.
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