Publications by authors named "G L Stimmel"
Background: There is a warning associated with all serotonergic antidepressants and its concomitant use with tramadol due to the concern for a drug-drug interaction resulting in serotonin syndrome (SS). The prescribing of antidepressants with tramadol may be unnecessarily restricted due to fear of causing this syndrome.
Objectives: There are 3 objectives of this review.
In recent years, the frequency of antidepressant drug-induced sexual dysfunction has increased, along with the use of new drugs for the treatment of erectile dysfunction and premature ejaculation. It has thus become common for pharmacists to counsel patients about sexual issues. Pharmacists must not only become knowledgeable about these drugs and their indications, but they must also become skilled and comfortable with counseling patients and answering questions from both patients and other health care providers.
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- Sexual dysfunction is common in patients with various medical and psychiatric conditions, notably depression and epilepsy, with decreased sexual desire being the most prevalent issue among depressed individuals.
- Changes in hormone levels from epilepsy or antiepileptic drugs may contribute to sexual dysfunction, although treatment typically follows standard guidelines due to a lack of specific data for these populations.
- For women, treatments include estrogen and lubricants, while men often use phosphodiesterase type-5 inhibitors for erectile dysfunction, with educational support and follow-up being crucial for effective management.