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A case of social phobia and avoidant personality disorder with erectile dysfunction successfully treated with venlafaxine and add-on reboxetine

Published online by Cambridge University Press:  16 April 2020

Isabella Pacchiarotti ,
Giovanni Manfredi ,
Giorgio D. Kotzalidis ,
Amedeo Ruberto ,
Roberto Tatarelli  and
Paolo Girardi
Isabella Pacchiarotti*
Affiliation:
Department of Psychiatry, University of Rome, “La Sapienza”-Sant’Andrea Hospital, 1035-1039 Via di Grottarossa, 00189Rome, Italy
Giovanni Manfredi
Affiliation:
Department of Psychiatry, University of Rome, “La Sapienza”-Sant’Andrea Hospital, 1035-1039 Via di Grottarossa, 00189Rome, Italy
Giorgio D. Kotzalidis
Affiliation:
Department of Psychiatry, University of Rome, “La Sapienza”-Sant’Andrea Hospital, 1035-1039 Via di Grottarossa, 00189Rome, Italy
Amedeo Ruberto
Affiliation:
Department of Psychiatry, University of Rome, “La Sapienza”-Sant’Andrea Hospital, 1035-1039 Via di Grottarossa, 00189Rome, Italy
Roberto Tatarelli
Affiliation:
Department of Psychiatry, University of Rome, “La Sapienza”-Sant’Andrea Hospital, 1035-1039 Via di Grottarossa, 00189Rome, Italy
Paolo Girardi
Affiliation:
Department of Psychiatry, University of Rome, “La Sapienza”-Sant’Andrea Hospital, 1035-1039 Via di Grottarossa, 00189Rome, Italy
*
*Corresponding author. [email protected] (I. Pacchiarotti).
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Abstract

A 25-year-old man with DSM-IV-TR Axis I social phobia and Axis II avoidant personality disorder and erectile dysfunction, presenting with depression, anxiety and insomnia, responded partially to extended release oral venlafaxine (75 mg/die for 6 weeks), but developed side effects and worsening symptoms when dose was increased to 150 mg/die; he responded to a combination of 75 mg/die venlafaxine and 4 mg/die reboxetine and improved on most of his symptoms.

Keywords

Social phobiaAvoidant personality disorderSexual dysfunctionVenlafaxineSerotonin-noradrenaline re-uptake inhibitorsReboxetineNoradrenaline re-uptake inhibitors
Type
Case report
Information
European Psychiatry , Volume 19 , Issue 4 , June 2004 , pp. 233 - 234
Copyright
Copyright © European Psychiatric Association 2002

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References

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