Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
How Can Erectile Dysfunction And Low Sperm Count Be Treated While On Risperidone For Psychosis?
I have high prolactine level in my blood about twice the normal range. I have been suffering from ED problem as well low sperm. I m married for 3 years but my wife could not get pregnant. I have been also suffering psychosis problem since 22 years and taking Resperidone since 2002. Please suggest me medication to improve sexual dysfuntion. I m now 37 years old. Fahim
Thu, 20 Sep 2018
Hi & Welcome.
Based on the history given you have developed hyperprolactinemia (increased prolactin level in the blood) which appears to be due to the prescribed medication Risperidone.
Risperidone is an antipsychotic medicine used to treat schizophrenia (psychosis) and symptoms of bipolar disorder (manic depression) and other conditions.
On prolonged treatment Risperidone elevates the prolactin level ( by antagonizing dopamine D2 receptors in the brain) which persists during chronic administration.
Hyperprolactinemia may reduce pituitary gonadotropin secretion. This, in turn, may inhibit reproductive function by impairing production of male and female sex hormone and this results in impotence or erectile dysfunction.
In view of the above, I would advise you to consult your treating psychiatrist to review the prescribed medication Risperidone and to prescribe an alternate effective but a safer medication to treat the symptoms of psychosis without affecting the sexual activities.
Your doctor may also prescribe certain medications such as Sildenafil or Tadalfil to overcome the ED problems.
Hope this will help.
A feed back is appreciated.
Based on the history given you have developed hyperprolactinemia (increased prolactin level in the blood) which appears to be due to the prescribed medication Risperidone.
Risperidone is an antipsychotic medicine used to treat schizophrenia (psychosis) and symptoms of bipolar disorder (manic depression) and other conditions.
On prolonged treatment Risperidone elevates the prolactin level ( by antagonizing dopamine D2 receptors in the brain) which persists during chronic administration.
Hyperprolactinemia may reduce pituitary gonadotropin secretion. This, in turn, may inhibit reproductive function by impairing production of male and female sex hormone and this results in impotence or erectile dysfunction.
In view of the above, I would advise you to consult your treating psychiatrist to review the prescribed medication Risperidone and to prescribe an alternate effective but a safer medication to treat the symptoms of psychosis without affecting the sexual activities.
Your doctor may also prescribe certain medications such as Sildenafil or Tadalfil to overcome the ED problems.
Hope this will help.
A feed back is appreciated.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Loading Online Doctors....