hi. i think...well, the 'atypicals' aren't supposed to be as bad for prolactin elevation (except risperidone...nightmare horror stories from that one...), but latuda might raise them. maybe lautda+seroquel have boosted your prolactin levels? there's a blood test...and I think Rx stuff to lower it. Abilify doesn't generally raise Prolactin, but I'm not saying "get abilify," just...I think it may be the only neuroleptic that does not do it, as a rule (the others, I think...its not as bad as with the older ones, but still happens? not really clear on all this...).

other than, I don't really know...maybe the sexual stuff is secondary the anhedonia? that would make sense, intuitively. but, that'd put a very -real- problem back in psych territory which...isn't helpful, and might prevent you from seeking out the underlying cause(s).

hope things get better. oh, and...there's a xanax xr, now. not to play Dr. with you (I'm just typing things out, not any kind of expert, so please talk to a real doctor, preferably yours) , but there's a xanax xr. I think the idea is 1 pill, all day coverage. downside: the PI sheet says you might wake up with anxiety, kind of like the anxiety people get between doses of....any benzodiazepine, now that I think about it.

thing is...klonopin can be helpful and all, but it can also make depression worse. or...cause depression (I suspect I had klonopin-induced depression in my late teens). xanax kind of has a bad reputation right now, but...on the plus side...its got mild mood lifting/mood brightening/antidepressant qualities. maybe, if its something that you think might help you, you could see about going from Klonopin+xanax to just xanax xr, maybe with some of the old school xanax to cover night time (for me, xanax and ativan were -always- better for sleep than Klonopin...) ?

i think xanax xr is now generic...I think whole deal with it is to cover long term, more or less stable benzodiazepine people, reduce dosage increases, etc. something like that.

just some random thoughts... hope things get better for you. :-)