Publication

What are the effects of antipsychotics on sexual dysfunctions and endocrine functioning?

Knegtering, H., van der Moolen, AEGM., Castelein, S., Kluiter, H. & van den Bosch, RJ., Apr-2003, In : Psychoneuroendocrinology. 28, p. 109-123 15 p.

Research output: Contribution to journalArticleAcademicpeer-review

The literature is reviewed and preliminary results of new studies are presented showing that treatment with classical antipsychotics, as well as risperidone, induces sexual dysfunctions in 30-60% of the patients. These antipsychotics also frequently induce amenorrhoea and galactorrhoea.

Although comparative studies are rare, it is likely that prolactin-sparing antipsychotics, as recently shown in a randomized trial of olanzapine versus risperidone, induce less sexual side effects.

From these studies, it becomes apparent that prolactin elevation induced by classical antipsychotics and risperidone is probably a factor in inducing sexual dysfunctions, amenorrhoea and galactorrhoea. The role of other factors inducing sexual dysfunctions like sedation, alpha-blockade, testosterone, dopamine, and serotonin is discussed. Finally, it is concluded that sexual and hormonal effects of antipsychotics, although clearly important, are often neglected in research as in clinical practice. Lowering the dosage or switching to a prolactin-sparing antipsychotic often reduces sexual side effects, amenorrhoea, and galactorrhoea. (C) 2003 Elsevier Science Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)109-123
Number of pages15
JournalPsychoneuroendocrinology
Volume28
Publication statusPublished - Apr-2003

    Keywords

  • antipsychotics, prolactin, schizophrenia, sexual dysfunctions, amenorrhoea, galactorrhoea, MALE-SCHIZOPHRENIC PATIENTS, D-2 RECEPTOR OCCUPANCY, PROLACTIN LEVELS, CLASSICAL ANTIPSYCHOTICS, ATYPICAL ANTIPSYCHOTICS, PSYCHIATRIC-PATIENTS, PSYCHOTROPIC-DRUGS, NEUROLEPTIC DRUGS, ADVERSE EVENTS, RISPERIDONE

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