medication. The other reasons are unclear, but
probably include genetic predisposition, poor
diet and lack of exercise. Regular medical review
and investigations (e.g. for diabetes, lipids,
blood pressure) should be an integral part of
management.

Taken from the book 'Lecture Notes: Psychiatry.'

Jan 14, 2024 7:39:07am

Many drugs have sexual side effects (e.g. thiazidediuretics, H2 antagonists, antihypertensives–as well asantidepressants and antipsychotics)

Taken from the book 'Lecture Notes: Psychiatry.'

Jan 14, 2024 7:38:05am

Common causes of impotence include:

• Anxiety about sexual performance.
• Alcohol.
• Unwanted effects of prescription medicines.
• Diabetes.
• Vascular disease

Taken from the book 'Lecture Notes: Psychiatry.'

Jan 14, 2024 7:37:10am

Both conventional and atypical antipsychotics cancause weight gain, although atypicals to a greaterdegree (Wirshing, 2004). Some of this weightgain seems to show a plateau effect (Miyamotoet al., 2003). When choosing a therapeutic regimen, weight gain and obesity are important sideeffects of antipsychotic medications to considerbecause of their association with hypertension, typeII diabetes, sleep apnea, cardiovascular disease,osteoarthritis and some types of cancer (Allison& Casey, 2001; Allison et al., 1999). Clozapineand olanzapine are generally most associated withweight gain, with risperidone, sertindole, zotepine,amisulpride and quetiapine showing intermediateweight gain and ziprasidone and aripiprazole considered to induce minimal or no weight gain (Allisonet al., 1999; Gardner et al., 2005; Kasper et al., 2003;Newcomer, 2005; Simpson et al., 2004; Wirshing,2004)