<prompt> 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?ZiprasidoneRisperidoneOlanzapineQuetiapine  <response>: Refer: The Maudsleys Prescribing Guidelines, 11th edition, chap 2 P.123Anti-psychotic induced hyper-prolactinaemia 25-118ngmlDopamine inhibits Prolactin release and so Dopamine antagonists can be expected to increase prolactin plasma levelsAll 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. 