Sexual Dysfunction from Antipsychotics Common — But Poorly Monitored by Physicians

From Mad in America, December 31, 2014

“The most frequently reported or observed antipsychotic side effects identified were sexual dysfunction, metabolic problems and weight gain,” the researchers wrote. They found that up to 59% of male patients reported sexual dysfunction, compared to 25–50% of women.”

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Describing the prevalence and management of adverse effects from antipsychotics as “a neglected area” of study, a team of researchers from the UK has published a systematic review in the Journal of Psychopharmacology. They aimed to identify the prevalence of, and management strategies for nine categories of adverse effects, including sedation, weight gain, metabolic syndrome, sexual dysfunction and cardiovascular effects.

The researchers reviewed 53 studies, and catalogued the rates of side effects identified in them. They found that “antipsychotic polypharmacy was associated with increased frequency of adverse effects.” They also found that longer duration of treatment was associated with more severe adverse effects.

“The most frequently reported or observed antipsychotic side effects identified were sexual dysfunction, metabolic problems and weight gain,” the researchers wrote. They found that up to 59% of male patients reported sexual dysfunction, compared to 25–50% of women.

The researchers also found that clinicians were generally not monitoring side effects nor developing management strategies for them very effectively. “Five of the seven studies which addressed baseline testing and follow-up monitoring revealed disappointing levels as low as 0% compliance with monitoring, despite guideline recommendations,” the authors wrote.

“Antipsychotic adverse effects are diverse and frequently experienced, but are not often systematically assessed,” they concluded. “There is a need for further scientific study concerning the management of these side effects.”

(Abstract) “First do no harm.” A systematic review of the prevalence and management of antipsychotic adverse effects. (Young, Su Ling et al. Journal of Psychopharmacology. Published online before print December 16, 2014. doi: 10.1177/0269881114562090)

This entry was posted in Adverse Effects, Featured News, In the News, Metabolic Syndrome,Obesity/Metabolic Syndrome by Rob Wipond. Bookmark the permalink.

http://www.madinamerica.com/2014/12/sexual-dysfunction-antipsychotics-frequently-experienced-poorly-monitored-physicians/

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About lindakay1948

I am what is known as a psychiatric survivor. I've had three breakdowns, each occurring after SEVERE SLEEP DEPRIVATION. I was forced to take neuroleptics each time, but have been off of them now for over twenty eight years. The problem is that, even though I took these drugs for very short periods of time, they left me with permanent damage. My first breakdown came in 1975, before I had any children. I was on Haldol and Cogentin for about four months, then took myself off these drugs after the psychiatrist refused to do it, telling me I would have to be on them for the rest of my life. After I went off of them I realized that I had lost the feeling in my saddle area that made it possible for me to become sexually aroused. I also didn't understand why I couldn't feel when I had to urinate until there was strong pressure in my abdomen. I wondered if this numbness would be permanent, but was relieved when, after two years, the feelings came back to some degree. (However, they were never to be as strong as they had been.) Well, time went by, and I married and had two children, one in the hospital and one at home, both without anesthesia. The feelings I had seemed intact until about a month after my second child was born in 1981. I was a nursing mom, did my own diapers, and worked very hard, often into the night. My baby seemed to have colic, both of my children woke me up over and over at night, and I could not get them to sleep at the same time during the day. So I didn't sleep for about a week. I started to exhibit psychotic symptoms again, was taken to the hospital, forcibly drugged, and labled a "chronic paranoid schizophrenic". Again I took the Haldol and Cogentin for a couple of weeks, then flushed it down the toilet. Again I had lost all my sexual feelings and had to remind myself to urinate. After a couple of years I began to feel just a little. Then a major family crisis came along in 1983 over which I didn't sleep for about a week. I would have taken a sleeping pill if I could have, but did not have the opportunity until it was too late. By that time I thought I could do anything. I felt like a superwoman. Well, I was only in the hospital for three days, and I immediately flushed the Haldol and Cogentin down the toilet when I got home, but it was too late. I felt as though I had sat on a big piece of ice that I couldn't get off of, and it wouldn't melt. 'Still feels like it never will. I have (literally) sat on this secret for over twenty eight years. At first I thought it must be psychosomatic, something having to do with my anger, and went though extensive therapy. Then, in 1993, I found an M.D. who would actually listen to me, and he put me through some medical testing. When he had finished he told me that I had apparently lost the feeling in my saddle area. In other words, I have a permanent saddle block, or PERMANANT GENITAL ANESTHESIA. I am blessed with a wonderful, understanding, husband, whom I've been married to for thirty three years. We have two grown children, who are both married, and two wonderful grandchildren. I'm AMAZED, because I was once afraid to marry and have children. As I was working toward my BA in Psych, I was told that mental illness is inherited. Yes, it seemed to run in my family. My great grandmother died in an institution and my mother was on psychiatric drugs for most of her life, until she developed Tardive Dyskinesia (brain damage) from them just before she died. I thank God everyday for my family, but I believe that it is important for me to share my story with the public now because so many young people are being given the drugs I was given, and other similar ones. I have heard about people who are on anti-depressants reporting permanent sexual side effects, but I wonder how many have experienced them after being given the major tranquilizers (neuroleptics). The damage that these drugs have done to me has been DEVASTATING. Is it any wonder that there are so many angry, violent, depressed, and suicidal young people when so many of them are being put on drugs they can't "say no" to? Country: United States Occupation: Montessori Teacher
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