Pretreatment screening and counseling on prolonged erections for patients prescribed trazodone

@article{Shah2020PretreatmentSA,
  title={Pretreatment screening and counseling on prolonged erections for patients prescribed trazodone},
  author={Tejash Shah and Juhi Deolankar and Thaiphi Luu and Hossein Sadeghi-Nejad},
  journal={Investigative and Clinical Urology},
  year={2020},
  volume={62},
  pages={85 - 89}
}
Purpose We examined whether patients are appropriately screened for previous prolonged erections or priapism and counseled about trazodone complications, specifically prolonged erections and priapism, prior to trazodone treatment. Materials and Methods We identified patients under the age of 50 on trazodone as of February 27, 2019 at the VA New Jersey Health Care System. Patients were asked about information provided to them prior to medication initiation, occurrence of prolonged erections… 

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Medications mostly associated with priapism events: assessment of the 2015–2020 Food and Drug Administration (FDA) pharmacovigilance database entries

Patients taking trazodone and/or antipsychotics need to be aware of the priapism-risk; awareness among prescribers would help in reducing priAPism-related detrimental sequelae.

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Priapism can occur at nearly any age and with any dose, and Clinicians must be aware of the risk and reports of early signs, such as prolonged erections, should be taken seriously.

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It is essential that patients who are to receive psychotropic medications be forewarned about priapism, and patients should be questioned concerning prior occurrence of prolonged erections, since a past history of delayed detumescence is present in approximately 50% of subsequent cases of priapsism.