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Annals of Clinical Psychiatry, Vol. 9, No. 4, 1997 Bupropion Treatment of Serotonin Reuptake Antidepressant-Associated Sexual Dysfunction Lawrence A. Labbate, M.D.,1,4 Jamie B. Grimes, M.D.,2 Alan Hines, M.D.,2 and Mark H. Pollack, M.D.3 Serotonin reuptake inhibitor (SRI)-induced sexual dysfunction is common, and a number of pharmacologic adjunctive strategies have been employed to treat this vexing problem. This open label study tested the efficacy of adjunctive bupropion across several measures of sexual function. Patients taking SRIs for various mood or anxiety disorders who reported prospec- tive decline in sexual function after at least 2 months on SRIs were offered treatment with bupropion, 75 mg/day. Eight patients were treated, and sexual function was measured by use of a visual analog scale at 1 month of treatment. Four of eight patients experienced marked improvement in sexual dysfunction following adjunctive bupropion treatment. Bupropion may be a pharmacologic option for treating SRI-associated sexual dysfunction, though controlled clinical trials are needed. KEY WORDS: Bupropion; antidepressants; sexual dysfunction; serotonin; depression. INTRODUCTION A number of strategies have been employed to counter SRI-induced sexual dysfunction. Clinical Antidepressant-induced sexual dysfunction is a strategies have included adding agents such as cypro- common adverse effect. Sexual dysfunction may oc- heptadine (8,9)
Annals of Clinical Psychiatry – Springer Journals
Published: Sep 18, 2004
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