What are the effects of antipsychotics on sexual dysfunctions and endocrine functioning?
| Autor: | R.J. van den Bosch, A. E.G.M. Van Der Moolen, Stynke Castelein, Henderikus Knegtering, H. Kluiter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male Olanzapine D-2 RECEPTOR OCCUPANCY medicine.medical_specialty prolactin amenorrhoea Endocrinology Diabetes and Metabolism medicine.medical_treatment media_common.quotation_subject Orgasm galactorrhoea Endocrinology CLASSICAL ANTIPSYCHOTICS Endocrine Glands Internal medicine medicine RISPERIDONE Humans Sexual Dysfunctions Psychological Antipsychotic Biological Psychiatry media_common Libido Risperidone Endocrine and Autonomic Systems ATYPICAL ANTIPSYCHOTICS PROLACTIN LEVELS Testosterone (patch) PSYCHOTROPIC-DRUGS NEUROLEPTIC DRUGS sexual dysfunctions medicine.disease Prolactin schizophrenia Psychiatry and Mental health antipsychotics Schizophrenia PSYCHIATRIC-PATIENTS Female ADVERSE EVENTS Psychology Antipsychotic Agents medicine.drug MALE-SCHIZOPHRENIC PATIENTS |
| Zdroj: | Psychoneuroendocrinology, 28, 109-123. PERGAMON-ELSEVIER SCIENCE LTD |
| ISSN: | 0306-4530 |
| Popis: | The literature is reviewed and preliminary results of new studies are presented showing that treatment with classical antipsychotics, as well as risperidone, induces sexual dysfunctions in 30-60% of the patients. These antipsychotics also frequently induce amenorrhoea and galactorrhoea.Although comparative studies are rare, it is likely that prolactin-sparing antipsychotics, as recently shown in a randomized trial of olanzapine versus risperidone, induce less sexual side effects.From these studies, it becomes apparent that prolactin elevation induced by classical antipsychotics and risperidone is probably a factor in inducing sexual dysfunctions, amenorrhoea and galactorrhoea. The role of other factors inducing sexual dysfunctions like sedation, alpha-blockade, testosterone, dopamine, and serotonin is discussed. Finally, it is concluded that sexual and hormonal effects of antipsychotics, although clearly important, are often neglected in research as in clinical practice. Lowering the dosage or switching to a prolactin-sparing antipsychotic often reduces sexual side effects, amenorrhoea, and galactorrhoea. (C) 2003 Elsevier Science Ltd. All rights reserved. |
| Databáze: | OpenAIRE |
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