Intake of Anti-Epileptic Drugs and their Influences on Sexual Dysfunctions

Anti-epileptic Drugs in Sexual Dysfunctions

Authors

  • Roheela Yasmeen Lahore Garrison University, Phase VI, Sector C DHA Lahore
  • Nida Mobeen Lahore Garrison University, Phase VI, Sector C DHA Lahore
  • Muhammad Amjad Khan Lahore Garrison University, Phase VI, Sector C DHA Lahore
  • Irfan Aslam Lahore Garrison University, Phase VI, Sector C DHA Lahore
  • Samia Chaudhry Services Institute of Medical Sciences, Lahore

DOI:

https://doi.org/10.52229/pbmj.v3i2.15

Abstract

Epilepsy which is also called seizures disorder is an uncontrolled action of the central nervous system. It is not a single disease but a set of neurological disorders. Actually in this situation, the brain does not receive a precise signal and as a result an abnormal condition is produced that is usually involuntary in action. In this review, we aimed to focus on the relationship of anti-epileptic drugs with sexual dysfunction and adaptation of better remedies that improve a patient’s family life. Sexual dysfunction is a common comorbidity in people with epilepsy which badly affects their quality of life. Sexual dysfunction is caused by different factors like psychiatric problems, anti-epileptic drugs (AEDs) and social factors etc. Sexual dysfunctions include ejaculatory failure, lessen libido, penile erection in men and irregular menstrual cycle in women. Common drugs such as Topiramate, Gabapentin (GBP), Valproate (VA), Carbamazepine (CBZ), Olanzapine (OL) and Risperidone (RTG) that are in practice to treat epilepsy usually produced adverse effect on sexual dysfunction. Even though a lot of studies have been carried out to control sexual dysfunction in epilepsy’s patient, but still research is going on. Medicine such as Cyproheptadine, Mianserin, Buspirone, Yohimbine were found better to treat epilepsy with minimum side effects of sexual dysfunction. Moreover, it is also seen that certain vasodilatorsfolate , and vitamin supplements are effective in improving the quality of life.

References

Hamed SA (2016). The effect of epilepsy and antiepileptic drugs on sexual, reproductive and gonadal health of adults with epilepsy. Expert review of clinical pharmacology, 9(6), 807-819.

Yogarajah M, Mula M.(2017). Sexual dysfunction in epilepsy and the role of anti-epileptic drugs. Current pharmaceutical design, 23(37), 5649-5661.

Yang Y, Wang X. (2016). Sexual dysfunction related to antiepileptic drugs in patients with epilepsy. Expert opinion on drug safety, 15(1), 31-42.

Kaufman KR, Coluccio M, Sivaraaman K, Campeas M. (2017). Lamotrigine-induced sexual dysfunction and non-adherence: case analysis with literature review. BJPsych open, 3(5), 249-253.

Pavone C, Giacalone N, Vella M, Urso L, Zummo L, Fierro B.(2017). Relation between sexual dysfunctions and epilepsy, type of epilepsy, type of antiepileptic drugs: a prospective study. Urologia Journal, 84(2), 88-92.

Lin CY, Fung XC, Nikoobakht M, Burri A, Pakpour AH. (2017). Using the Theory of Planned Behavior incorporated with perceived barriers to explore sexual counseling services delivered by healthcare professionals in individuals suffering from epilepsy. Epilepsy & Behavior, 74, 124-129.

Ocek L, Tarhan H, Uludağ Fİ, Sarıteke A, Köse C, Colak A, Zorlu F, Zorlu Y. (2018). Evaluation of sex hormones and sperm parameters in male epileptic patients. ActaNeurologicaScandinavica, 137(4), 409-416.

Hamed SA, Hermann BP, Moussa EM, Youssef AH, Rageh TA, Elserogy YE, NasrEldin E. (2015). Evaluation of penile vascular status in men with epilepsy with erectile dysfunction. Seizure, 25, 40-48.

Shawahna R, Atrash A, Jebril A, Khalaf A, Shaheen E, Tahboosh H. (2017). Evaluation of pharmacists’ knowledge of women’s issues in epilepsy: a cross-sectional study in Palestinian pharmacy practice. Seizure, 46, 1-6.

Herzog AG. (2015). Disorders of reproduction in patients with epilepsy. ZeitschriftfürEpileptologie, 28(4), 254-263.

Montejo AL, Montejo L, Baldwin DS.. (2018). The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management. World Psychiatry, 17(1), 3-11.

Al-Bishri WM, Abdel-Reheim ES, Zaki AR. (2017). Purslane protects against the reproductive toxicity of carbamazepine treatment in pilocarpine-induced epilepsy model. Asian Pacific Journal of Tropical Biomedicine, 7(4), 339-346.

Calabrò RS. (2016). Sexual dysfunction in patients with epilepsy: disentangling the pathogenic mechanisms!. Epilepsy & Behavior, 64, 294.

Luef G, Madersbacher H. (2015). Sexual dysfunction in patients with epilepsy. In Handbook of clinical neurology, 130, 383-394. Elsevier.

Rathore C, Henning OJ, Luef G, Radhakrishnan K. (2019). Sexual dysfunction in people with epilepsy. Epilepsy & Behavior, 100, 106495.

Atif M, Sarwar MR, Scahill S. (2016). The relationship between epilepsy and sexual dysfunction: a review of the literature. Springerplus, 5(1), 2070.

Wu D, Chen L, Ji F, Si Y, Sun H. (2018). The effects of oxcarbazepine, levetiracetam, and lamotrigine on semen quality, sexual function, and sex hormones in male adults with epilepsy. Epilepsia, 59(7), 1344-1350.

Bangar S, Shastri A, El-Sayeh H, Cavanna AE. (2016). Women with epilepsy: clinically relevant issues. Functional neurology, 31(3), 127..

El Makawy AI, Ibrahim FM, Mabrouk DM, Ahmed KA, Ramadan MF. (2019). Effect of antiepileptic drug (Topiramate) and cold pressed ginger oil on testicular genes expression, sexual hormones and histopathological alterations in mice. Biomedicine & Pharmacotherapy, 110, 409-419.

Asadi-Pooya A, Farazdaghi M, Ashjazadeh N. (2015). Effects of carbamazepine on semen parameters in men with newly diagnosed epilepsy. Iranian journal of neurology, 14(3), 168.

Hamed SA, Moussa EM, Tohamy AM, Mohamed KO, Mohamad ME, Sherif TM, Abdellah MM. (2015). Seminal fluid analysis and testicular volume in adults with epilepsy receiving valproate. Journal of Clinical Neuroscience, 22(3), 508-512.

Verrotti A, Mencaroni E, Cofini M, Castagnino M, Leo A, Russo E, Belcastro V. (2016). Valproic acid metabolism and its consequences on sexual functions. Current drug metabolism, 17(6), 573-581.

Krasuski T, Jędrzejczak J, Rysz A, Owczarek K. (2018). Sexual satisfaction of patients after the resection of an epileptic focus. Interdisciplinary Neurosurgery, 13, 104-108.

Miller WR, Gesselman AN, Garcia JR, Groves D, Buelow JM. (2017). Epilepsy-related romantic and sexual relationship problems and concerns: Indications from Internet message boards. Epilepsy & Behavior, 74, 149-153.

Singh M, Bathla M, Martin A, Aneja J. (2015). Hypoactive sexual desire disorder caused by antiepileptic drugs. Journal of human reproductive sciences, 8(2), 111.

Kanner AM. (2016). Most antidepressant drugs are safe for patients with epilepsy at therapeutic doses: a review of the evidence. Epilepsy & Behavior, 61, 282-286.

Basson R., Rees PM. (2018). Sexual Dysfunctions. The American Psychiatric Association Publishing Textbook of Psychosomatic Medicine and Consultation-Liaison Psychiatry, 405.

Shokri S, Kazemi M, Firouzjaei MA, Hemadi M, Moayeri A, Ganjkhani M, Nejatbakhsh R. (2015). Melatonin protects testes against lithium‐pilocarpine‐induced temporal lobe epilepsy in rats: a time course study. Andrologia, 47(3), 343-353.

Matsui H, A Sopko N, L Hannan J, J Bivalacqua T. (2015). Pathophysiology of erectile dysfunction. Current drug targets, 16(5), 411-419.

Sharma A, Boller F, Koubeissi M. (2016). Women with epilepsy. Functional neurology, 31(3), 125.

Calabrò RS, Gervasi G, Naro A, de Luca R, Marullo M, Bramanti P. (2016). Erectile Dysfunction in Individuals with Neurologic Disability: A Hospital-based Cross-sectional Study. Innovations in clinical neuroscience, 13(1-2), 10.

Voinescu PE, Pennell PB. (2017, December). Delivery of a Personalized Treatment Approach to Women with Epilepsy. In Seminars in neurology, 37(6), 611-623. Thieme Medical Publishers.

Pennell PB, French JA, Harden CL, Davis A, Bagiella E, Andreopoulos E, Lau C, Llewellyn N, Barnard S, Allien S. (2018). Fertility and birth outcomes in women with epilepsy seeking pregnancy. JAMA neurology, 75(8), 962-969.

Calabrò RS. (2017). Lamotrigine-induced persistent genital arousal disorder: an unusual side effect. Epilepsy & Behavior, 68, 234-235.

Sidhu HS, Srinivasa R, Sadhotra A. (2018). Evaluate the effects of antiepileptic drugs on reproductive endocrine system in newly diagnosed female epileptic patients receiving either Valproate or Lamotrigine monotherapy: A prospective study. Epilepsy research, 139, 20-27.

Osuntokun OS, Olayiwola G, Oladele A, Ola I, AyokaAbiodun O. (2017). Chronic administration of gabapentin and a gabapentin-carbamazepine combination reversibly suppress testicular function in male Wistar rats (Rattusnorvegicus). Pathophysiology, 24(2), 63-69.

Yogarajah M. (2019). Epilepsy and sexual dysfunction. In The Comorbidities of Epilepsy: 51-76. Academic Press.

Ceylan M, Yalcin A, Bayraktutan OF, Karabulut I, SonkayaAR.. (2016). Effects of levetiracetam monotherapy on sperm parameters and sex hormones: Data from newly diagnosed patients with epilepsy. Seizure, 41, 70-74.

Calabrò RS. (2017). Sexual dysfunction and topiramate: What does lie beneath the tip of the iceberg?. Epilepsy & Behavior, 73, 281-282.

Lin1. Hamed SA (2016). The effect of epilepsy and antiepileptic drugs on sexual, reproductive and gonadal health of adults with epilepsy. Expert review of clinical pharmacology, 9(6), 807-819.

Yogarajah M, Mula M.(2017). Sexual dysfunction in epilepsy and the role of anti-epileptic drugs. Current pharmaceutical design, 23(37), 5649-5661.

Yang Y, Wang X. (2016). Sexual dysfunction related to antiepileptic drugs in patients with epilepsy. Expert opinion on drug safety, 15(1), 31-42.

Kaufman KR, Coluccio M, Sivaraaman K, Campeas M. (2017). Lamotrigine-induced sexual dysfunction and non-adherence: case analysis with literature review. BJPsych open, 3(5), 249-253.

Pavone C, Giacalone N, Vella M, Urso L, Zummo L, Fierro B.(2017). Relation between sexual dysfunctions and epilepsy, type of epilepsy, type of antiepileptic drugs: a prospective study. Urologia Journal, 84(2), 88-92.

Lin CY, Fung XC, Nikoobakht M, Burri A, Pakpour AH. (2017). Using the Theory of Planned Behavior incorporated with perceived barriers to explore sexual counseling services delivered by healthcare professionals in individuals suffering from epilepsy. Epilepsy & Behavior, 74, 124-129.

Ocek L, Tarhan H, Uludağ Fİ, Sarıteke A, Köse C, Colak A, Zorlu F, Zorlu Y. (2018). Evaluation of sex hormones and sperm parameters in male epileptic patients. ActaNeurologicaScandinavica, 137(4), 409-416.

Hamed SA, Hermann BP, Moussa EM, Youssef AH, Rageh TA, Elserogy YE, NasrEldin E. (2015). Evaluation of penile vascular status in men with epilepsy with erectile dysfunction. Seizure, 25, 40-48.

Shawahna R, Atrash A, Jebril A, Khalaf A, Shaheen E, Tahboosh H. (2017). Evaluation of pharmacists’ knowledge of women’s issues in epilepsy: a cross-sectional study in Palestinian pharmacy practice. Seizure, 46, 1-6.

Herzog AG. (2015). Disorders of reproduction in patients with epilepsy. ZeitschriftfürEpileptologie, 28(4), 254-263.

Montejo AL, Montejo L, Baldwin DS.. (2018). The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management. World Psychiatry, 17(1), 3-11.

Al-Bishri WM, Abdel-Reheim ES, Zaki AR. (2017). Purslane protects against the reproductive toxicity of carbamazepine treatment in pilocarpine-induced epilepsy model. Asian Pacific Journal of Tropical Biomedicine, 7(4), 339-346.

Calabrò RS. (2016). Sexual dysfunction in patients with epilepsy: disentangling the pathogenic mechanisms!. Epilepsy & Behavior, 64, 294.

Luef G, Madersbacher H. (2015). Sexual dysfunction in patients with epilepsy. In Handbook of clinical neurology, 130, 383-394. Elsevier.

Rathore C, Henning OJ, Luef G, Radhakrishnan K. (2019). Sexual dysfunction in people with epilepsy. Epilepsy & Behavior, 100, 106495.

Atif M, Sarwar MR, Scahill S. (2016). The relationship between epilepsy and sexual dysfunction: a review of the literature. Springerplus, 5(1), 2070.

Wu D, Chen L, Ji F, Si Y, Sun H. (2018). The effects of oxcarbazepine, levetiracetam, and lamotrigine on semen quality, sexual function, and sex hormones in male adults with epilepsy. Epilepsia, 59(7), 1344-1350.

Bangar S, Shastri A, El-Sayeh H, Cavanna AE. (2016). Women with epilepsy: clinically relevant issues. Functional neurology, 31(3), 127..

El Makawy AI, Ibrahim FM, Mabrouk DM, Ahmed KA, Ramadan MF. (2019). Effect of antiepileptic drug (Topiramate) and cold pressed ginger oil on testicular genes expression, sexual hormones and histopathological alterations in mice. Biomedicine & Pharmacotherapy, 110, 409-419.

Asadi-Pooya A, Farazdaghi M, Ashjazadeh N. (2015). Effects of carbamazepine on semen parameters in men with newly diagnosed epilepsy. Iranian journal of neurology, 14(3), 168.

Hamed SA, Moussa EM, Tohamy AM, Mohamed KO, Mohamad ME, Sherif TM, Abdellah MM. (2015). Seminal fluid analysis and testicular volume in adults with epilepsy receiving valproate. Journal of Clinical Neuroscience, 22(3), 508-512.

Verrotti A, Mencaroni E, Cofini M, Castagnino M, Leo A, Russo E, Belcastro V. (2016). Valproic acid metabolism and its consequences on sexual functions. Current drug metabolism, 17(6), 573-581.

Krasuski T, Jędrzejczak J, Rysz A, Owczarek K. (2018). Sexual satisfaction of patients after the resection of an epileptic focus. Interdisciplinary Neurosurgery, 13, 104-108.

Miller WR, Gesselman AN, Garcia JR, Groves D, Buelow JM. (2017). Epilepsy-related romantic and sexual relationship problems and concerns: Indications from Internet message boards. Epilepsy & Behavior, 74, 149-153.

Singh M, Bathla M, Martin A, Aneja J. (2015). Hypoactive sexual desire disorder caused by antiepileptic drugs. Journal of human reproductive sciences, 8(2), 111.

Kanner AM. (2016). Most antidepressant drugs are safe for patients with epilepsy at therapeutic doses: a review of the evidence. Epilepsy & Behavior, 61, 282-286.

Basson R., Rees PM. (2018). Sexual Dysfunctions. The American Psychiatric Association Publishing Textbook of Psychosomatic Medicine and Consultation-Liaison Psychiatry, 405.

Shokri S, Kazemi M, Firouzjaei MA, Hemadi M, Moayeri A, Ganjkhani M, Nejatbakhsh R. (2015). Melatonin protects testes against lithium‐pilocarpine‐induced temporal lobe epilepsy in rats: a time course study. Andrologia, 47(3), 343-353.

Matsui H, A Sopko N, L Hannan J, J Bivalacqua T. (2015). Pathophysiology of erectile dysfunction. Current drug targets, 16(5), 411-419.

Sharma A, Boller F, Koubeissi M. (2016). Women with epilepsy. Functional neurology, 31(3), 125.

Calabrò RS, Gervasi G, Naro A, de Luca R, Marullo M, Bramanti P. (2016). Erectile Dysfunction in Individuals with Neurologic Disability: A Hospital-based Cross-sectional Study. Innovations in clinical neuroscience, 13(1-2), 10.

Voinescu PE, Pennell PB. (2017, December). Delivery of a Personalized Treatment Approach to Women with Epilepsy. In Seminars in neurology, 37(6), 611-623. Thieme Medical Publishers.

Pennell PB, French JA, Harden CL, Davis A, Bagiella E, Andreopoulos E, Lau C, Llewellyn N, Barnard S, Allien S. (2018). Fertility and birth outcomes in women with epilepsy seeking pregnancy. JAMA neurology, 75(8), 962-969.

Calabrò RS. (2017). Lamotrigine-induced persistent genital arousal disorder: an unusual side effect. Epilepsy & Behavior, 68, 234-235.

Sidhu HS, Srinivasa R, Sadhotra A. (2018). Evaluate the effects of antiepileptic drugs on reproductive endocrine system in newly diagnosed female epileptic patients receiving either Valproate or Lamotrigine monotherapy: A prospective study. Epilepsy research, 139, 20-27.

Osuntokun OS, Olayiwola G, Oladele A, Ola I, AyokaAbiodun O. (2017). Chronic administration of gabapentin and a gabapentin-carbamazepine combination reversibly suppress testicular function in male Wistar rats (Rattusnorvegicus). Pathophysiology, 24(2), 63-69.

Yogarajah M. (2019). Epilepsy and sexual dysfunction. In The Comorbidities of Epilepsy: 51-76. Academic Press.

Ceylan M, Yalcin A, Bayraktutan OF, Karabulut I, SonkayaAR.. (2016). Effects of levetiracetam monotherapy on sperm parameters and sex hormones: Data from newly diagnosed patients with epilepsy. Seizure, 41, 70-74.

Calabrò RS. (2017). Sexual dysfunction and topiramate: What does lie beneath the tip of the iceberg?. Epilepsy & Behavior, 73, 281-282.

Lin CY, Oveisi S, Burri A, Pakpour AH. (2017). Theory of Planned Behavior including self-stigma and perceived barriers explain help-seeking behavior for sexual problems in Iranian women suffering from epilepsy. Epilepsy & Behavior, 68, 123-128.

Rezaei O, Fadai F, Sayadnasiri M, Palizvan MA, Armoon B, Noroozi M. (2018). The effect of bupropion on sexual function in patients with Schizophrenia: A randomized clinical trial. The European Journal of Psychiatry, 32(1), 11-15.

CY, Oveisi S, Burri A, Pakpour AH. (2017). Theory of Planned Behavior including self-stigma and perceived barriers explain help-seeking behavior for sexual problems in Iranian women suffering from epilepsy. Epilepsy & Behavior, 68, 123-128.

Rezaei O, Fadai F, Sayadnasiri M, Palizvan MA, Armoon B, Noroozi M. (2018). The effect of bupropion on sexual function in patients with Schizophrenia: A randomized clinical trial. The European Journal of Psychiatry, 32(1), 11-15.

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Published

2020-12-31
CITATION
DOI: 10.52229/pbmj.v3i2.15
Published: 2020-12-31

How to Cite

Yasmeen, R. ., Mobeen, N. ., Khan, M. A., Aslam, I. ., & Chaudhry, S. . (2020). Intake of Anti-Epileptic Drugs and their Influences on Sexual Dysfunctions: Anti-epileptic Drugs in Sexual Dysfunctions. Pakistan BioMedical Journal, 3(2). https://doi.org/10.52229/pbmj.v3i2.15

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