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Centre for Policy on Ageing | |
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| Pharmacologic treatment of hypersexuality and paraphilias in nursing home residents | | Author(s) | Andrew M Levitsky, Norma J Owens |
| Journal title | Journal of the American Geriatrics Society, vol 47, no 2, February 1999 |
| Pages | pp 231-234 |
| Keywords | Sexual activity ; Behaviour disorders ; Drugs ; Residents [care homes] ; Nursing homes ; Case studies ; Literature reviews. |
| Annotation | A MEDLINE search was conducted for English language articles published in the previous 20 years supplemented by a search of bibliographies of relevant articles. Case reports of pharmacological treatment of hypersexual or paraphilic behaviour were selected only if the patient receiving the treatment was an older person and/or cognitively impaired. Case reports were grouped according to the class of pharmacological agent used: antiandrogens, oestrogens, GnRH analogues, or serotonergic drugs. Each case report was evaluated for pharmacological agent administered, route of administration, duration of therapy, therapeutic response, and incidence of side effects. Nursing home residents who display hypersexual or paraphilic behaviour are extremely difficult to manage. Before initiating pharmacotherapy to control unwanted sexual behaviours, the current drug regimen should be evaluated carefully for drugs that may be causing or exacerbating the behaviour. Case reports suggest that antiandrogens, oestrogens, GnRH analogues, and serotonergic medications may be useful when other methods have failed. Controlled comparative trials of these agents are needed to establish their efficacy. (RH). |
| Accession Number | CPA-001107004 A |
| Classmark | BIU: EP: LLD: KX: LHB: 69P: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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