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Antidepressant Drugs: Tricyclics, SSRIs, and SNRIs01:28

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Tricyclic Antidepressants (TCAs), including Desipramine (Norpramin), Imipramine (Tofranil), Clomipramine (Anafranil), and Amitriptyline (Elavil), inhibit serotonin and norepinephrine reuptake and also block other receptors. They are used for depression, pain conditions, and insomnia. Common adverse effects include anticholinergic effects, sedation, orthostatic hypotension, and weight gain. They have a narrow therapeutic window and so require plasma-level monitoring. Abrupt discontinuation can...
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Network Pharmacology and Validation of the Antidepressant Mechanisms of Qiangzhifang in a Chronic Restraint Stress-induced Depression Rat Model
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Antidepressants and sexual dysfunction.

U Werneke1, S Northey, D Bhugra

  • 1Department of Psychiatry, Homerton University Hospital, London, UK. uwerneke@easynet.co.uk [corrected]

Acta Psychiatrica Scandinavica
|November 8, 2006
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Summary

Antidepressant use can cause sexual dysfunction in up to 70% of depression patients. This review explores prevalence and treatments for antidepressant-induced sexual dysfunction, highlighting its impact on depression management.

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Area of Science:

  • Psychiatry
  • Pharmacology
  • Sexual Medicine

Background:

  • Sexual dysfunction is a common issue for patients with depression.
  • Sexual dysfunction is a recognized side-effect of antidepressant medications.

Purpose of the Study:

  • To review the prevalence of psychosexual dysfunction linked to antidepressants.
  • To examine specific treatment options for antidepressant-induced sexual dysfunction.

Main Methods:

  • A comprehensive literature review was conducted.
  • Searches included Medline and Cochrane databases.

Main Results:

  • Up to 70% of patients with depression may experience sexual dysfunction.
  • Tricyclic antidepressants, SSRIs, and venlafaxine are most associated with sexual dysfunction.
  • Non-serotonergic antidepressants and duloxetine are least likely to cause sexual dysfunction.
  • Treatment options include alternative antidepressants or 'antidotes'.

Conclusions:

  • Sexual dysfunction associated with antidepressants is potentially preventable and treatable.
  • Routine screening for sexual function is crucial for early identification.
  • Ignoring sexual dysfunction can worsen depression and hinder treatment adherence.