Persistent sexual dysfunction after SSRI withdrawal : a scoping review and presentation of 86 cases from the Netherlands

BACKGROUND: Sexual dysfunction is highly prevalent worldwide. A specific form is persistent sexual dysfunction after SSRI withdrawal. We conducted a systematic literature review in order to characterize factors related to post SSRI sexual dysfunction (PSSD) and analyzed spontaneous reports of persistent sexual dysfunction reported to the Netherlands Pharmacovigilance Center Lareb.

RESEARCH DESIGN AND METHODS: A systematic literature review was conducted following the PRISMA-ScR guidelines. In addition, reports of PSSD submitted to the Netherlands Pharmacovigilance Center Lareb between 1992 and 2021 were analyzed.

RESULTS: A total of 237 articles were retrieved through the search and 33 articles were selected for inclusion in this review, in accordance with the inclusion criteria. Information regarding the characteristics of the condition, its clinical management, patient characteristics, and impact of PSSD is presented. A total of 86 reports of persistent sexual dysfunction were analyzed. The longest case being a patient with PSSD for 23 years. The main symptoms were: loss or decreased libido (n = 53), erectile dysfunction (n = 23) and anorgasmia (n = 5).

CONCLUSIONS: PSSD impact includes sexual, psychological, and social consequences. Little is known about the mechanisms underlying PSSD and no effective treatment exists. It is necessary to increase recognition of PSSD among prescribers and improve its management at the clinical level.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Expert opinion on drug safety - 21(2022), 4 vom: 18. Apr., Seite 553-561

Sprache:

Englisch

Beteiligte Personen:

Chinchilla Alfaro, Katherine [VerfasserIn]
van Hunsel, Florence [VerfasserIn]
Ekhart, Corine [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
PSSD
Persistent sexual dysfunction
Post SSRI sexual dysfunction
Review
SSRIs withdrawal
Serotonin Uptake Inhibitors
Systematic Review

Anmerkungen:

Date Completed 22.03.2022

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/14740338.2022.2007883

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333295757