Sildenafil for iatrogenic serotonergic antidepressant medication-induced sexual dysfunction in 4 patients
by
Nurnberg HG, Lauriello J, Hensley PL, Parker LM, Keith SJ
Department of Psychiatry,
School of Medicine,
University of New Mexico Health Sciences Center,
Albuquerque 87131-5456, USA.
J Clin Psychiatry 1999 Jan; 60(1):33-5
ABSTRACTOBJECTIVE: To evaluate the effect of sildenafil on iatrogenic serotonergic antidepressant-induced sexual dysfunction. METHOD: Four outpatients (2 men, 2 women) who developed sexual dysfunction (erectile impotence, anorgasmia) during treatment with a serotonin reuptake inhibitor antidepressant for psychiatric disorder were selected. Each subject was initially prescribed sildenafil 50 mg to be taken approximately 1 hour before sexual activity. The dose was increased to 100 mg for a partial or failed response. RESULTS: Four cases are detailed in case report fashion. All 4 had rapid reversal of their sexual dysfunction, usually with the first dose. Reversal equates to 1 successful use of sildenafil in each of 2 patients and 3 uses in 2 patients. CONCLUSION: Sildenafil may be an effective treatment for serotonergic antidepressant-induced sexual dysfunction and deserves further evaluation in randomized placebo-controlled studies.
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