Without any symptoms of drug-induced hyperprolactinemia, do you still consider changing atypical antipsychotics (that are working very well) if the prolactin levels are high in children undergoing puberty?  

I consider the risk of osteoporosis if I believe it may be used long-term, even if asymptomatic. Typically, I warn parents of the risk but continue the medication if the prolactin is only mildly elevated. I find it rare to find an adult patient who is taking the same drugs they did in adolescence. L...