Nefazodone and the Treatment of Nonparaphilic Compulsive Sexual Behavior: A Retrospective Study
J Clin Psychiatry 2000;61(4):282-284
© Copyright 2017 Physicians Postgraduate Press, Inc.
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Background: Recent reports suggest that
individuals with nonparaphilic compulsive sexual behavior can be
treated pharmacologically with selective serotonin reuptake
inhibitors (SSRIs) to control sexual obsessions and compulsions.
However, these medications have produced sexual side effects that
may limit long-term use, particularly as individuals strive to
reestablish healthy sexual relationships. Nefazodone is an
antidepressant that is not associated with the sexual side
effects of other SSRIs. We examined retrospective data from our
clinic to investigate whether nefazodone has utility in the
treatment of nonparaphilic compulsive sexual behavior.
Method: Fourteen subjects who met DSM-IV
criteria for sexual disorder NOS as well as criteria used by our
research group for nonparaphilic compulsive sexual behavior and
who had been treated with nefazodone were selected from patient
charts at our clinic. The treating physician abstracted
information from the charts regarding comorbid psychiatric
conditions, medication, dosage, treatment response, and side
Results: In this study, the mean dosage of
nefazodone was 200 mg/day. Of the subjects who remained on
long-term nefazodone therapy, 6 (55%) reported good control of
sexual obsessions and compulsions, and 5 (45%) reported a
remission of sexual obsessions and compulsions.
Conclusion: Results from this preliminary
retrospective study suggest that nefazodone decreases the
frequency of sexual obsessions and compulsions but does not
produce the undesired sexual side effects caused by SSRI