PARAPHILIC DISORDERS DRUG TREATMENT
DOI:
https://doi.org/10.35919/rbsh.v28i2.21Keywords:
Paraphilic disorders. Comorbidities. Drug treatment.Abstract
The present paper aims to study the medications used to treat Paraphilic Disorders (PD), their mechanisms of action, side effects and the importance of comorbidities to choose the best drug for each case. A literature search was conducted at Pubmed and Medline. Many medications can be helpful: Antidepressants acting on 5HT2a serotonergic receptor, especially in depression and anxious diseases; Antipsychotics, that are antidopaminergic, in psychosis; Mood Stabilizers in Bipolar Disorder and impulsiveness; Naltrexone in alcoholism; peripheral or central acting Antiandrogens as the partial agonists of hypothalamic Luteinizing hormone-releasing hormone (LHRH agonists), in more severe cases.The best treatment for each individual depends on the diagnosis (Sexual, Psychiatric and General Medical). Treating an individual with Wilson’s Disease, Organic Psychosis, and Exhibitionistic Disorder is different from treating an individual with Hypothyroidism, Depression and Exhibitionistic Disorder. It is also important to try to preserve sexual function in the healthiest way possible. On the other hand, it is fundamental to protect society from sexual offenders. Ethical issues as a possibility of the toxicity of medications should be widely discussed and documented.It is important to note that the use of antiandrogens for chemical castration is not allowed in Brazil.