Sexual Dysfunction Clinical Trial
Official title:
Treatment of Sexual Dysfunction Secondary to Antidepressant Pharmacotherapy: A Double-blind Comparison of Requip (Ropinirole) vs. Placebo in Patients Taking SSRI Antidepressants
Antidepressant medicines sometimes cause sexual side effects. The purpose of this study is to determine whether the sexual dysfunction sometimes caused by selective serotonin reuptake inhibitor (SSRI) antidepressant medications can be reversed by treatment with Requip (ropinirole), a medicine which is used to treat Parkinson's Disease and restless leg syndrome.
A significant proportion of patients taking pharmacotherapy for treatment of depression
experience sexual dysfunction at distressing levels, with reported rates varying
considerably. When sexual dysfunction is assessed prospectively using structured
questionnaires, high levels of dysfunction have been found. SSRIs including paroxetine,
sertraline, and other medications, have been shown to have a similar frequency of sexual
side effects and in a recent prospectively designed study 50% of men taking sertraline
reported that they were only "slightly" (18%) or "not at all" (32%) satisfied with their
sexual functioning. It is reported that sexual side effects of antidepressant treatment
frequently result in noncompliance with and/or premature discontinuation of treatment. A
recent study showed that the dopamine agonist Requip (Ropinirole) reduced the amount of
SSRI-associated sexual dysfunction. The proposed study will utilize a placebo control group
in a crossover design to determine the effect on sexual dysfunction of adding Requip (Requip
CR formulation) to the patient's SSRI treatment.
30 patients experiencing sexual dysfunction attributable to SSRI treatment for depression
will be entered into this study. All patients will receive 6 weeks of treatment with
Ropinirole and 6 weeks with placebo in a crossover fashion. Assessments of sexual
functioning and depression will be made at each visit.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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