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Comparing the Efficacy of Bupropion and Amantadine On Sexual Dysfunction Induced by a Selective Serotonin Reuptake Inhibitor

Published online by Cambridge University Press:  15 April 2020

A. Zahiroddin
Affiliation:
Psychiatrist Assistant Prof. of shahid beheshti University of Medical Sciences. Psychiatry and Behavioral Research Center, shahid beheshti University of Medical Sciences, tehran, Iran
A. Zamani
Affiliation:
Psychiatrist. Psychiatry and Behavioral Research Center shahid beheshti University of Medical Sciences, shahid beheshti University of Medical Sciences, tehran, Iran
F. Faridhosseini
Affiliation:
Psychiatrist Assistant Prof. of Mashhad University of Medical Sciences (Corresponding author)., Psychiatry and Behavioral Research Center Ibn-e-Sina Hospital Mashhad University of Medical Sciences Mashhad Iran, mashhad, Iran
N. Shahini
Affiliation:
Resident of Psychiatry Psychiatry and Behavioral Sciences Research Center Ibn-e-Sina Hospital Faculty of Medicine Mashhad University of Medical Sciences Mashhad Iran, Student Research Committee Mashhad University of Medical, mashhad, Iran

Abstract

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Antidepressant-induced sexual dysfunction (SD) is a common problem, associated with a significant risk of non-adherence. Selective Serotonin Reuptake Inhibitors (SSRIs) are associated with a substantial risk of SD. Only 10 % of patients show spontaneous improvement during follow up period. The aim is to compare two proposed medication (bupropion vs.amantadine) in alleviating SD of patients treated with SSRIs. The study was a single-blind,4-week trial SSRI treated outpatients, in remission for more than 8weeks and have SD, were randomly allocated to two parallel groups. Twenty patients were given bupropion Eighteen patients were randomly assigned to another group, given amantadine. Patients were assessed with the Arizona Sexual Experience Scale (ASEX) at baseline and 4 weeks after the treatment.38 patients completed the study (18 patients in amantadine vs.20 patients in bupropion). The mean ASEX scores gradually declined in both study groups during the trial. The reduction of ASEX score of bupropion is greater than the amantadine that was statistically significant. SoThe addition of bupropion at higher doses appears to be more effective approach in comparison with amantadine. These results provide empirical support for conducting a further study on comparing different add-on strategies for treating drug induced SD.

Type
Article: 1613
Copyright
Copyright © European Psychiatric Association 2015
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