Protocols for the use of cyproterone, medroxyprogesterone, and leuprolide in the treatment of paraphilia
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Objective: To propose a protocol for minimizing medical complications associated with the use of cyproterone, medroxyprogesterone, and depot leuprolide to treat paraphilia. Method: Review of the relevant literature. Results: Certain patient populations should not be treated with these medications, and medical complications associated with each can be detected early and avoided. Conclusions: For each drug, a series of screening tests prior to use and scheduled testing during use can minimize potential medical complications.
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All three agents (progestogens, antiandrogens, GnRH analogues) are associated with potential adverse effects such as precipitation or aggravation of cardiac conditions, gynaecomastia, weight gain, hot flushes, or depression.
“All three agents are associated with potential adverse effects (Reilly 2000), such as precipitation or aggravation of cardiac conditions (De Voogt 1986; Pierce 1995), gynaecomastia, weight gain, hot flushes, or depression (Grubin 2008).”
From Pharmacological interventions for those who have sexually offended or are at risk of offending (2015) · cites this paper as Reilly 2000
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Roila, F., Crinò, L., Carloni, G., & Natalini, G. (1993) · Annals of Oncology · doi:10.1093/oxfordjournals.annonc.a058631 · Cited by 19 · see citing works
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Pharmacological interventions for those who have sexually offended or are at risk of offending
Khan, O., Ferriter, M., Huband, N., Powney, M. J., Dennis, J. A., & Duggan, C. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007989.pub2 · Cited by 144 · see citing works
Thibaut, F., Cosyns, P., Fedoroff, J. P., Briken, P., Goethals, K., Bradford, J. M. W., & The WFSBP Task Force on Paraphilias (2020) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2020.1744723 · Cited by 109 · see citing works
- Authors
- Reilly, D. R., Delva, N. J., & Hudson, R. W.
- Affiliations
- University of Ottawa (CA)
- Queen's University (CA)
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2000-08
- Volume
- 45
- Issue
- 6
- Pages
- 559-563
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W98454650
- Cited by
- 42
- References
- 3
- Citations by year
- 2021: 1 · 2020: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 4
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- paraphilias, cyproterone, medroxyprogesterone, hormone therapy, medical complications, screening test, treatment protocols, contraindications
- MeSH terms
- Administration, Oral, Androgen Antagonists, Dose-Response Relationship, Drug, Drug Administration Schedule, Humans, Injections, Intramuscular, Male, Medroxyprogesterone, Paraphilic Disorders, Leuprolide, Cyproterone Acetate
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