Successful Management of Psychotropics Induced Stuttering Priapism with Pseudoephedrine in a Patient with Schizophrenia
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Updated: Feb 11, 2026

A Strategy to Identify de Novo Mutations in Common Disorders such as Autism and Schizophrenia
Published on: June 15, 2011
Srinagesh Mannekote Thippaiah1, Soumya Nagaraja1, Badari Birur1
1Dr. Thippaiah, Assistant Professor in Psychiatry, Zucker Hillside Hospital, NY. Dr. Nagaraja, Brookdale University Hospital & Medical Center, Brooklyn, NY. Dr. Birur, Assistant Professor, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham. Dr. Pandurangi, Professor and Vice Chair, Virginia Commonwealth University, Department of Psychiatry, Richmond, VA.
Abstract:
Stuttering Priapism is a recurrent, persistent penile erection in the absence of sexual desire due to altered genital hemodynamics, affecting the arterial component (high flow, non-ischemic) or the veno-occlusive mechanism (low flow, ischemic). Both typical and atypical antipsychotics increase the risk for priapism with greater implications in typicals than atypicals. Prompt recognition and treatment are important as 40% to 50% of patients with stuttering priapism may develop an erectile dysfunction if left untreated. There are several case reports in the literature about the association between psychotropic agents and priapism. However, there are no reports of successfully treating stuttering priapism using pseudoephedrine (sudafed) in the adult population. Here we present successful management of psychotropics induced stuttering priapism with pseudoephedrine in a male patient with schizophrenia.
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