Abstract | BACKGROUND: AIM: METHODS: Twenty men aged 27-60 years (mean = 38.8 years, standard deviation = 10.3) with CSBD seeking treatment in an outpatient nonforensic clinic received four weeks of naltrexone 25-50 mg. Measurements were made before, during, and four weeks after treatment. OUTCOMES: The self-assessment Hypersexual Disorder: Current Assessment Scale (HD: CAS) score was the primary outcome measure, and secondary outcomes were the Hypersexual Behavior Inventory (HBI) score, reported adverse effects, adherence to treatment, and dropouts. RESULTS: There was significant decrease on both HD: CAS and HBI scores during treatment with naltrexone. Even though some of the effects remained after treatment, the increased scores on HD: CAS indicated worsening of CSBD symptoms. The most reported side effects were fatigue (55%), nausea (30%), vertigo (30%), and abdominal pain (30%). However, there were no serious adverse effects leading to discontinuation of naltrexone. CLINICAL IMPLICATIONS: Despite side effects being common, naltrexone seems to be feasible in the treatment of CSBD. STRENGTHS & LIMITATIONS: Being the first nonforensic prospective trial on naltrexone in CSBD, this study provides novel insights on a pharmacological intervention. However, owing to the small sample size and the lack of a control group, conclusions of effectiveness should be interpreted with caution. CONCLUSION:
Naltrexone is feasible and tolerable and may reduce symptoms of CSBD; nevertheless, future studies should ensure a randomized controlled procedure to evaluate possible effectiveness. Savard J, Öberg KG, Chatzittofis A, et al. Naltrexone in Compulsive Sexual Behavior Disorder: A Feasibility Study of Twenty Men. J Sex Med 2020;17:1544-1552.
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Authors | Josephine Savard, Katarina Görts Öberg, Andreas Chatzittofis, Cecilia Dhejne, Stefan Arver, Jussi Jokinen |
Journal | The journal of sexual medicine
(J Sex Med)
Vol. 17
Issue 8
Pg. 1544-1552
(08 2020)
ISSN: 1743-6109 [Electronic] Netherlands |
PMID | 32532705
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2020 International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved. |
Chemical References |
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Topics |
- Adult
- Compulsive Behavior
(drug therapy)
- Feasibility Studies
- Humans
- Male
- Middle Aged
- Naltrexone
(therapeutic use)
- Prospective Studies
- Sexual Behavior
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