Invega and Gynecomastia

Individuals and especially children who use Invega (paliperidone) to control mental illnesses may be at risk of gynecomastia (breast enlargement). Invega can increase the amount of a certain hormone called prolactin in a patient’s blood — a condition called hyperprolactinemia.

Symptoms of elevated prolactin levels include gynecomastia in men, decreased sexual ability, and nipple discharge. The manufacturer of Invega recommends that patients with these symptoms should contact their doctor right away.

Invega Gynecomastia Symptoms

Invega is associated with the following gynecomastia symptoms:

  • Enlargement of the male breasts: The enlargement is in glandular tissue, which produces a conical shape behind the nipple. It may affect one breast or both. It is usually symmetrical in appearance.
  • Breast tenderness and sensitivity: The breasts may be painful, but the pain is not typically extreme.
  • Nipple is swollen
  • Nipple is rubbery or firm: This is because gynecomastia involves glandular tissue, and not fatty deposits.
  • Nipple discharge
  • Psychological trauma: Gynecomastia can be very embarrassing and debilitating for an adolescent male.

Gynecomastia symptoms are very similar to symptoms of breast cancer, abscesses, or other serious medical conditions. Individuals who are concerned should seek medical attention.


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