Nafziger A N, Bertino J S, Goss-Bley A I, Kashuba A D
Clinical Pharmacology Research Center and Department of Medicine, Bassett Healthcare, Cooperstown, NY 13326-1394, USA.
J Clin Psychiatry. 1999 Mar;60(3):187-90. doi: 10.4088/jcp.v60n0307.
Current literature suggests that the incidence of sexual dysfunction secondary to fluvoxamine therapy is 1% to 8%, while other selective serotonin reuptake inhibitors may have rates as high as 75%. The objective of this study was to determine the incidence of sexual dysfunction secondary to fluvoxamine in healthy volunteers.
20 healthy volunteers (10 men, 10 premenopausal women) had adverse effects assessed at 6 visits while not receiving fluvoxamine, then twice while taking 150 mg fluvoxamine daily. Assessments occurred at 2-week intervals. Incidence rates for sexual dysfunction were calculated.
No sexual dysfunction was reported prior to fluvoxamine therapy. After 2 weeks and 4 weeks of therapy respectively, sexual dysfunction occurred in 20% (N = 4) and 35% (N = 7) of the healthy volunteers.
The incidence of sexual dysfunction during fluvoxamine therapy in healthy volunteers is 35%. This incidence is higher than previously reported and similar to that of other selective serotonin reuptake inhibitors.
当前文献表明,氟伏沙明治疗继发性功能障碍的发生率为1%至8%,而其他选择性5-羟色胺再摄取抑制剂的发生率可能高达75%。本研究的目的是确定健康志愿者中氟伏沙明继发性功能障碍的发生率。
20名健康志愿者(10名男性,10名绝经前女性)在未服用氟伏沙明时接受6次访视以评估不良反应,之后在每日服用150毫克氟伏沙明时接受2次访视。评估每隔2周进行一次。计算性功能障碍的发生率。
在氟伏沙明治疗前未报告性功能障碍。分别在治疗2周和4周后,20%(N = 4)和35%(N = 7)的健康志愿者出现性功能障碍。
健康志愿者中氟伏沙明治疗期间性功能障碍的发生率为35%。这一发生率高于先前报告的发生率,与其他选择性5-羟色胺再摄取抑制剂的发生率相似。