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    Subjects/Psychiatry/Antipsychotic Side Effects
    Antipsychotic Side Effects
    medium
    brain Psychiatry

    A 32-year-old man with schizophrenia has been on risperidone 6 mg daily for 8 months. He presents to the psychiatry clinic with complaints of progressive difficulty in maintaining erections and decreased libido for the past 3 months. On examination, he appears well-groomed and cooperative. Laboratory investigations reveal serum prolactin 85 ng/mL (normal <25 ng/mL). Testosterone is 250 ng/dL (normal 300–1000 ng/dL). What is the most appropriate next step in management?

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