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The Annals of Pharmacotherapy: Vol. 28, No. 7, pp. 872-874.
© 1994 Harvey Whitney Books Company.
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Research Articles

Fluvoxamine-associated sexual dysfunction

A Dorevitch and H Davis

OBJECTIVE: To report two cases of sexual dysfunction induced by fluvoxamine, a selective serotonin reuptake inhibitor (SSRI). SETTING: University teaching hospital. PATIENTS: Two depressed patients who developed ejaculation and orgasmic difficulties after initiation of fluvoxamine therapy. DISCUSSION: The literature concerning sexual dysfunction with serotonergic antidepressants is reviewed, and speculated mechanisms for this untoward effect are discussed. CONCLUSIONS: Sexual dysfunction associated with antidepressant drugs, including SSRIs, may be underreported. This troublesome adverse effect may significantly affect patient comfort and compliance. Careful evaluation of sexual function is warranted, prior to and during drug treatment, especially as more serotonergic antidepressant agents become available.


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Am. J. PsychiatryHome page
W. L. Strauss, M. E. Layton, and S. R. Dager
Brain Elimination Half-Life of Fluvoxamine Measured by 19F Magnetic Resonance Spectroscopy
Am J Psychiatry, March 1, 1998; 155(3): 380 - 384.
[Abstract] [Full Text]




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Copyright © 1994 by Harvey Whitney Books Company.