15th February 2025

A 55-year-old gentleman with schizoaffective disorder attends your clinic.

A 55-year-old gentleman with schizoaffective disorder attends your clinic. He describes doing well currently and initially denies any side effects of his antipsychotic medication, although, on closer prompting, he admits some low libido. He has slight gynaecomastia but no galactorrhoea, and his recent blood results show a raised prolactin. You suggest reducing or changing his antipsychotic medication, but he is very reluctant to do this as he has “finally found something which works”. Which of the following add-on medications might you trial?

Select the SINGLE most appropriate option from the list below. Select ONE option only.