A 30 years old woman with chronic mental illness complaints of whitish milk like fluid coming from both breasts. Which of the drug is the likely to have caused this?
(Refer: The Maudsley's Prescribing Guidelines, 11th edition, chap 2 P.123)
Anti-psychotic induced hyper-prolactinaemia (25-118ng/ml)

Dopamine inhibits Prolactin release and so Dopamine antagonists can be expected to increase prolactin plasma levels
All anti Psychotics do not increase Prolactin above normal range at standard doses . These drugs are Clozapine , Olanzapine , Quetiapine , Aripiprazole , Ziprasidone .
Side effects include sexual dysfunction, decreased bone mineral density, menstural disturbances & galactorrhoea.
Ziprasidone
Risperidone
Olanzapine
Quetiapine