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Sexuella problem är vanliga vid antidepressiv behandling: Vad vet allmänläkarna om denna biverkan, och hur hanteras den?
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
2005 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 102, no 9, 650-653 p.Article in journal (Refereed) Published
Abstract [en]

At least five per cent of the Swedish population is treated with some kind of antidepressant (AD) drug, mostly SSRI's. Sexual adverse effects, mainly loss of libido and anorgasmia or delayed orgasm/ejaculation concern more than 50% of these patients. The antidepressive effects of treatment are generally satisfying, but the sexual side effects may be a reason for non-compliance. This article refers to studies that specifically have investigated sexual adverse effects caused by AD-treatment and strategies to handle and prevent these problems. A questionnaire sent to general practitioners showed that they are well aware of the problem with sexual adverse effect in AD treatment and ascribe it great importance. The knowledge of effects and side effects of newer AD drugs seemed somewhat insufficient. An increased knowledge about these substances and alternative treatment strategies would perhaps make it easier for the physicians to handle or avoid AD induced sexual side effects.

Abstract [sv]

Minst 5 procent av Sveriges befolkning behandlasmed något antidepressivt läkemedel, i de flesta fallmed s k SSRI-preparat (selektiva serotoninåterupptagshämmare).Över hälften av dessa patienter drabbasav sexuella biverkningar, främst nedsatt orgasmförmågaoch minskad lust.Antidepressiva läkemedels behandlingseffekter är iallmänhet goda, men de sexuella biverkningarna tordebidra till sämre behandlingsföljsamhet. I artikelnrefereras studier som specifikt undersökt sexuella biverkningarutlösta av antidepressiva läkemedel samtstrategier för att motverka dessa.I en enkät till allmänläkare framkom att medvetenhetenom problemet är god och att de flesta informerarsina patienter om sexuella biverkningar. Det behövsdock ökad kunskap om de nya antidepressiva medlenseffekter och bieffekter samt om alternativa behandlingsstrategierför att minska eller undgå sexuellaproblem vid farmakologisk behandling av depressionoch ångest.

Place, publisher, year, edition, pages
2005. Vol. 102, no 9, 650-653 p.
Identifiers
URN: urn:nbn:se:umu:diva-43982PubMedID: 15804037OAI: oai:DiVA.org:umu-43982DiVA: diva2:417539
Available from: 2011-05-17 Created: 2011-05-17 Last updated: 2017-12-11Bibliographically approved

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CiteExportLink to record
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  • apa
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  • nn-NB
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