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Additional resources for Green’s child and adolescent clinical psychopharmacology
1 ng/mL). Prolactin levels then gradually decreased until by the ninth month of treatment; they were again within normal limits for both and remained there for the duration of the study although 23 24 Section One » General Principles they remained higher than baseline. The following adverse effects, which could possibly be related to hyperprolactinemia, were noted: mild to moderate gynecomastia in 25 subjects (22 men, 3 women); menstrual disturbances in 6 subjects; galactorrhea in 1 patient; and moderately severe menorrhagia in 1 patient.
The medication should be completely or nearly finished before more is prescribed. The clinician must monitor the medication adequately for the duration of the therapy and should either discontinue the medication or attempt to do so at appropriate intervals, or document in the clinical record the reasons for the decision not to follow this protocol. , continuing to give medication intramuscularly when it is no longer indicated or necessary). A patient’s use of prescribed medication to attempt or successfully complete a suicide may also result in legal action.
As is also well known, pregnancies do occur at times even with “protected” sex. Once pregnancy is verified, serious concerns about teratogenic risk to the embryo/fetus arise. “A pregnant woman should not take any drug unless it is necessary for her own health or that of her fetus” (Friedman and Polifka, 1998, p. ix). Additional concerns occur when mothers who are taking medication wish to breast-feed their infants, as some drugs and/or their metabolites are secreted in breast milk. Discussion of these very important issues on a drug-by-drug basis is beyond the scope of this book.