![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by D minor on March 10, 2005, at 0:54:30
Does anyone know if ammehorrha, lactation and menorrhagia due to Riperdal goes away with time? Or are they permanent side-effects that can only be stopped by discontinuation?
Thanks,
dm
Posted by med_empowered on March 10, 2005, at 6:15:45
In reply to risperidone+menorrhagia, posted by D minor on March 10, 2005, at 0:54:30
From what I've read, it would appear the Risperdal is the most side-effect heavy of the atypical antipsychotics, unless you count in clozapine (I don't b/c clozapine isn't nearly as popular). Anyway, the hormonal effects seem to be best handled by a) reducing the dose; b)switching to another atypical; c)if appropriate, using something besides an anti-psychotic in treatment. All the anti-psychotics have problems, but Risperdal seems to have more than most of the others...if you switch to an atypical, I'd recommend Abilify (no known cardiovascular ill-effects, no drowsiness, no prolactin elevation) or Geodon (not too much drowsiness, mild cardiovascular effects) as candidates. If, for whatever reason, you have to go with a conventional (read: old school) anti-psychotic, Loxapine seems to be a pretty good idea. Amoxapine (an anti-depressant that doubles as an anti-psychotic) is another old-school option that some researchers are now paying more attention to.
Posted by Maximus on March 10, 2005, at 8:14:42
In reply to risperidone+menorrhagia, posted by D minor on March 10, 2005, at 0:54:30
> Does anyone know if ammehorrha, lactation and menorrhagia due to Riperdal goes away with time? Or are they permanent side-effects that can only be stopped by discontinuation?
No there are not permanents. If you change or stop Risperdal, the amenorrhea will cease.
By the way, may i know your dose if you don't mind? Because at low dose, see 1 mg and lower, Risperdal doesn't increase prolactin level.
Posted by Maxime on March 10, 2005, at 9:27:13
In reply to risperidone+menorrhagia, posted by D minor on March 10, 2005, at 0:54:30
No, they don't go away with time. You should get your prolactin levels tested. You may have naturally levels of prolactin. That is the case with me and as a result I can't take any anti-psychotic without starting to lactate on it. There is a med that you can take to stop but doctors don't like to prescribe it. And of course I can't remember the name of the darn med.
I feel your pain ... literally.
Maxime
> Does anyone know if ammehorrha, lactation and menorrhagia due to Riperdal goes away with time? Or are they permanent side-effects that can only be stopped by discontinuation?
>
> Thanks,
> dm
Posted by ed_uk on March 10, 2005, at 9:42:08
In reply to Re: risperidone+menorrhagia, posted by Maxime on March 10, 2005, at 9:27:13
>There is a med that you can take to stop but doctors don't like to prescribe it.
Bromocriptine
Posted by D minor on March 10, 2005, at 13:36:21
In reply to Re: risperidone+menorrhagia, posted by Maxime on March 10, 2005, at 9:27:13
Hey,
I'm not currently taking Risperdal, but I have taken it in the past and had a big problem with lactation, so they took me off. I was just wondering if, had I continued with the treatment, those side effects might have gone away. But appearantlty not. I don't remember what dose I was at. I'm just trying to find another solution to these hallucinations because 5mg Abilify and 400 mg Seroquel aren't cutting it. I need something strong, but I don't want to try the typical APs because of side effects (I once had EPS and it wasn't fun).Thanks,
dm
Posted by Maxime on March 10, 2005, at 23:04:57
In reply to Re: risperidone+menorrhagia » Maxime, posted by ed_uk on March 10, 2005, at 9:42:08
> >There is a med that you can take to stop but doctors don't like to prescribe it.
>
> Bromocriptine
>
>That's it! Thank you. I knew it began with a "B"! I am certain my IQ drops a few points every day.
Ed, would you happen to know why doctors are reluctant to prescribe it?
Maxime
Posted by Maxime on March 10, 2005, at 23:08:20
In reply to Re: risperidone+menorrhagia, posted by D minor on March 10, 2005, at 13:36:21
Excuse my ignorance, but what is EPS?
Maxime
> Hey,
> I'm not currently taking Risperdal, but I have taken it in the past and had a big problem with lactation, so they took me off. I was just wondering if, had I continued with the treatment, those side effects might have gone away. But appearantlty not. I don't remember what dose I was at. I'm just trying to find another solution to these hallucinations because 5mg Abilify and 400 mg Seroquel aren't cutting it. I need something strong, but I don't want to try the typical APs because of side effects (I once had EPS and it wasn't fun).
>
> Thanks,
> dm
Posted by D minor on March 10, 2005, at 23:19:38
In reply to Re: risperidone+menorrhagia » D minor, posted by Maxime on March 10, 2005, at 23:08:20
Sorry,
EPS stands for Extra Pyramidal Side-effects. These are side effects that antipsychotics are most known for. Like tardive dyskinisia, when you develope ticks. For me, my jaw started moving from side to side on its own. It was really scary 'cause I didn't know if it would go away. Fortunatly it did.dm
Posted by SLS on March 11, 2005, at 6:42:59
In reply to risperidone+menorrhagia, posted by D minor on March 10, 2005, at 0:54:30
> Does anyone know if ammehorrha, lactation and menorrhagia due to Riperdal goes away with time? Or are they permanent side-effects that can only be stopped by discontinuation?
Hi.
I never menstruated while taking Risperdal, but then again, I believe this condition is quite common in males. :-)
Unfortunately, alterations in the menstrual cycle are common with Risperdal because of its relatively strong binding to DA2 receptors and the resulting increase in the secretion of prolactin. These alterations tend to remain chronic while taking this drug. If it is your desire to conceive, you might have to discontinue taking Risperdal. Ideally you could switch to another antipsychotic. However, if Risperdal is the only drug that works, you might have an option. Although DA agonists like Parlodel and Mirapex are prescribed for galactorhea due to its ability to suppress the secretion of prolactin, I don't know if these drugs stablilize the menstrual cycle such that conception is possible or that gestation can be supported. You might be able to discontinue the DA agonist after pregnancy has been established wherein the increase in estrogen and progesterone are all that is needed to support gestation.
Is it your desire to conceive? If you, please post and perhaps someone can help look into it for you.
- Scott
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.