Lithium and Erectile Dysfunction: An Overview

Lithium has been a mainstay of therapy for patients with bipolar disorders for several decades. However, it may exert a variety of adverse effects that can affect patients’ compliance. Sexual and erectile dysfunction has been reported in several studies by patients who take lithium as monotherapy or...

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Main Authors: Mohammad Sheibani, Mehdi Ghasemi, Ahmad Reza Dehpour
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/1/171
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author Mohammad Sheibani
Mehdi Ghasemi
Ahmad Reza Dehpour
author_facet Mohammad Sheibani
Mehdi Ghasemi
Ahmad Reza Dehpour
author_sort Mohammad Sheibani
collection DOAJ
description Lithium has been a mainstay of therapy for patients with bipolar disorders for several decades. However, it may exert a variety of adverse effects that can affect patients’ compliance. Sexual and erectile dysfunction has been reported in several studies by patients who take lithium as monotherapy or combined with other psychotherapeutic agents. The exact mechanisms underlying such side effects of lithium are not completely understood. It seems that both central and peripheral mechanisms are involved in the lithium-related sexual dysfunction. Here, we had an overview of the epidemiology of lithium-related sexual and erectile dysfunction in previous clinical studies as well as possible pathologic pathways that could be involved in this adverse effect of lithium based on the previous preclinical studies. Understanding such mechanisms could potentially open a new avenue for therapies that can overcome lithium-related sexual dysfunction and improve patients’ adherence to the medication intake.
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spelling doaj.art-604dc58fa4e24cb281324f74a4a122a82023-11-23T11:21:15ZengMDPI AGCells2073-44092022-01-0111117110.3390/cells11010171Lithium and Erectile Dysfunction: An OverviewMohammad Sheibani0Mehdi Ghasemi1Ahmad Reza Dehpour2Department of Pharmacology, School of Medicine, Iran University of Medical Sciences, Tehran 14496-14535, IranDepartment of Neurology, University of Massachusetts Chan Medical School, Worcester, MA 01655, USADepartment of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran 14176-13151, IranLithium has been a mainstay of therapy for patients with bipolar disorders for several decades. However, it may exert a variety of adverse effects that can affect patients’ compliance. Sexual and erectile dysfunction has been reported in several studies by patients who take lithium as monotherapy or combined with other psychotherapeutic agents. The exact mechanisms underlying such side effects of lithium are not completely understood. It seems that both central and peripheral mechanisms are involved in the lithium-related sexual dysfunction. Here, we had an overview of the epidemiology of lithium-related sexual and erectile dysfunction in previous clinical studies as well as possible pathologic pathways that could be involved in this adverse effect of lithium based on the previous preclinical studies. Understanding such mechanisms could potentially open a new avenue for therapies that can overcome lithium-related sexual dysfunction and improve patients’ adherence to the medication intake.https://www.mdpi.com/2073-4409/11/1/171lithiumsexual dysfunctionerectile dysfunctioncorpus cavernosumnitric oxidenitric oxide synthase
spellingShingle Mohammad Sheibani
Mehdi Ghasemi
Ahmad Reza Dehpour
Lithium and Erectile Dysfunction: An Overview
Cells
lithium
sexual dysfunction
erectile dysfunction
corpus cavernosum
nitric oxide
nitric oxide synthase
title Lithium and Erectile Dysfunction: An Overview
title_full Lithium and Erectile Dysfunction: An Overview
title_fullStr Lithium and Erectile Dysfunction: An Overview
title_full_unstemmed Lithium and Erectile Dysfunction: An Overview
title_short Lithium and Erectile Dysfunction: An Overview
title_sort lithium and erectile dysfunction an overview
topic lithium
sexual dysfunction
erectile dysfunction
corpus cavernosum
nitric oxide
nitric oxide synthase
url https://www.mdpi.com/2073-4409/11/1/171
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