OpenHealth Q&A

Get answered by medical professionals

Unexpected Lactation: What Does It Mean?

8/26/2025, 8:51:15 PMMale25-34

Recently, I stumbled upon a TikTok video that mentioned lactation as a potential side effect of the antipsychotic medication I am currently taking. Initially, I thought it would be amusing to test this out, never truly expecting that I might be experiencing lactation myself. To my surprise, I was! When I applied pressure to my nipple, a few drops of a somewhat watery, white substance emerged. This occurred on both sides each time I squeezed. I plan to bring this up with my psychiatrist during our appointment on Friday. In the meantime, I am feeling anxious about what this might imply. Should I be concerned that my medication will need adjustments? Is the fact that I’m lactating without being pregnant something to worry about? After achieving a sense of stability with my current treatment, the thought of having to change anything is quite discouraging. I am 24 years old and taking 60mg of lurasidone.

Internal MedicineEndocrinologyRheumatology

Answers (1)

Cony

8/26/2025, 8:51:33 PM

OpenHealth AI

Lactation when not pregnant or breastfeeding can be concerning, especially as it may relate to your medication. Lurasidone, like some other antipsychotics, can influence hormones in the body, leading to increased levels of prolactin, a hormone that stimulates milk production. It’s understandable to feel anxious about this, especially if you’ve found stability with your current treatment.

Explanation:

The lactation you are experiencing, termed galactorrhea, can be a side effect of antipsychotic medications. When prolactin levels rise, it can lead to breast discharge even in individuals who are not pregnant. Other possibilities include hormonal imbalances or other medications you might be taking.

While it can be concerning, it's good to hear that you have an appointment with your psychiatrist soon. It’s important to discuss this symptom with them because they can evaluate the need for any adjustments based on your experience and any other symptoms you may have.

Next Steps:

  1. Document Your Symptoms: Keep a simple record of when the lactation occurs, how often it happens, and any other symptoms (like headaches, changes in mood, etc.). This information can help your psychiatrist make an informed decision.

  2. Stay Informed: While waiting for your appointment, consider researching how lurasidone and other antipsychotics affect hormone levels, but avoid jumping to conclusions. Understanding potential side effects can help empower your discussion.

  3. Prepare for Your Appointment: Write down any questions or concerns you may have, including:

    • The likelihood of needing a medication adjustment.
    • Monitoring options for your current symptoms.
    • Possible alternatives to your current medication if necessary.
  4. Reassure Yourself: Remember that experiencing side effects like this is not uncommon, and your psychiatrist is there to help you navigate these challenges effectively without losing the stability you've achieved.

It’s vital to approach this with a mindset of finding solutions rather than worry. Feel free to reach out if you have more questions or need additional support.

Related Questions

Post-Surgery IV Site Concerns: Is This Normal?

Age: 34, Gender: Female, Height: 5'3", Weight: 190lbs, Location: USA. I underwent a minor surgical procedure on the 12th of this month, during which an IV was placed in my hand. Three days post-operation, I noticed a faint red streak extending from the IV insertion point down to the inner area of my elbow. Although it wasn't vibrant red, my husband and I opted not to seek medical advice immediately that evening. The following day, there was notable improvement; the redness faded significantly, and by the time evening arrived, the line was nearly invisible. Now, two weeks later, I'm experiencing some concerning symptoms. The vein on the back of my hand has become raised and quite rigid, with soreness that feels akin to bruising extending down to my wrist. Applying lotion there is extremely painful, and even simple hand-washing has turned into a challenge. Should I be worried about this? Is such discomfort typical at this stage of recovery? Are there effective methods to facilitate quicker healing? It's surprising how often the back of my hand makes contact with objects during daily activities, especially now that it's so tender.

Multiple SclerosisFibromyalgiaInternal Medicine
Male25-34
6 minutes ago

Seeking Advice for a Widespread Itchy Rash

I’m a 21-year-old woman, standing 5'8" tall and weighing 220 pounds. This past Sunday, I discovered a rash forming on my wrist. It consisted of numerous small, raised, reddish bumps that were extremely itchy. By Monday morning, the same type of bumps appeared along the perimeter of my lips. As the day progressed, the rash spread to my inner thighs, legs, and hands. Now, it has even reached my face, the insides of my elbows, behind my knees, and my chest. On Monday, I visited an urgent care facility, where they prescribed me a 5-day regimen of Prednisone. Regrettably, it hasn’t alleviated my symptoms. Since last night, I’ve been experiencing significant brain fog and extreme fatigue. My temperature rose to 99.5°F, but it didn’t exceed that. Additionally, my resting heart rate surged to 120 beats per minute. I’m at a loss regarding what might be causing this. To give some background on my recent health, I began taking Pantoprazole last Friday but discontinued it on Monday, suspecting it might be the culprit. I recently overcame a yeast infection, and just last week, results from a urinalysis indicated the presence of blood and leukocyte esterase. I’m reaching out to see if anyone might have insights into what could be behind this rash and my other symptoms.

LupusCrohn's DiseaseInternal Medicine
Male25-34
19 minutes ago

Are Shin Splints Causing Bruising?

I’m a 33-year-old male, standing at 6 feet 4 inches and weighing 205 pounds. I’ve been contending with shin splints since my early twenties. Although I maintain an active lifestyle, primarily cycling for my cardio workouts, I recently took up tennis, and I've noticed significant discomfort in my shins following each match. Today, I observed bruising in the areas impacted by the shin splints, and it’s particularly interesting because it appears symmetrical on both legs. After a brief search online, I discovered that bruising typically isn’t associated with shin splints. However, at the moment, I’m traveling abroad and unable to see a healthcare professional in person. Any advice or information would be greatly appreciated, especially regarding how to alleviate shin splint issues. I would love to run on hard surfaces like many others do, but I'm currently limited to softer terrains like grass and trails due to the persistent pain. Playing tennis on hard courts has been especially tough on my shins.

AsthmaArthritisInternal Medicine
Male25-34
20 minutes ago

Internal Bleeding Near My Bellybutton

At 18 years old, I've been sporting a belly button piercing for about three years without any issues. However, I've recently noticed a swelling located deeper within my belly button, separate from my piercing. The bump resembles a blister filled with blood, and it's been bleeding quite a bit, causing some discomfort. Unfortunately, the bleeding seems unrelenting at the moment.

LupusInternal MedicineEndocrinology
Male25-34
30 minutes ago

Concerns Regarding Infusion Premedication After Linezolid Treatment

I am a 32-year-old female weighing 115 lbs and I live with multiple sclerosis (MS). I have an infusion scheduled for Friday, August 29. As is standard procedure, they will administer premedication, which includes Tylenol, Benadryl, and steroids, to minimize potential reactions. I won’t proceed with the infusion unless I receive these pretreatments. Recently, I completed a 10-day regimen of linezolid, taking 600 mg twice daily, to address a urinary tract infection (UTI). My primary care physician, urologist, and neurologist have all been informed about the antibiotic use and have authorized me to take the premedications for the upcoming infusion. However, when I contacted the pharmacy today for confirmation, they expressed concerns. They advised me to avoid combining this medication with certain foods or drugs for four weeks, whereas I noticed online that the recommendation is typically two weeks. Given these conflicting guidelines, should I consider postponing my infusion? I’m worried that this potential issue might have been missed by multiple healthcare providers. Additionally, the Benadryl dosage I will be given is 100 mg. Does this dosage change the situation? I should mention that my body is particularly sensitive; I once experienced a hypertensive crisis that required an emergency room visit while on this antibiotic.

Multiple SclerosisThyroid DisordersRheumatology
Male25-34
38 minutes ago