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We suggest the following key points for clinicians prescribing medications liable to raise prolactin levels: • carry out pre-treatment screening for hyperprolactinaemia, as it can assist in determining whether or not a patient's subsequent elevated prolactin level is medication-induced (Reference Byerly, Suppes and TranByerly 2007) • establish baseline psychosexual function and menstrual history (Reference Walters and JonesWalters 2008) • routinely enquire about sexual dysfunction, breast changes and menstrual function • if hyperprolactinaemia is present, evaluate with the patient the merits of ongoing use of psychotropic medication and the potential adverse effects of ongoing hyperprolactinaemia • note that women of reproductive age appear to be at higher risk of hyperprolactinaemia than postmenopausal women (Reference Holt and PevelerHolt 2011)