Priapism and quetiapine: a case report.
Priapism is a "persistent erection not accompanied by sexual desire or stimulation, usually lasting more than six hours and typically involving only the corpora cavernosa." Here we report on a gay male patient from our HIV/AIDS mental health clinic who developed serious priapism on quetiapine and recreational amphetamine. Gay men are at high risk for amphetamine use, and as such, this potential association between priapism, quetiapine, and amphetamine use should be considered in making prescription decisions with these patients.
Harrison
George
G
UCSF/AIDS Health Project, San Francisco, CA 94114, USA. Boston@itsa.ucsf.edu
Dilley
James W
JW
Loeb
Lisa
L
Nelson
Kimberly
K
D000661:Amphetamine / Q000009:adverse effects; D019969:Amphetamine-Related Disorders / Q000150:complications / Q000523:psychology; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D015897:Comorbidity; D003866:Depressive Disorder / Q000150:complications / Q000188:drug therapy*; D003987:Dibenzothiazepines / Q000009:adverse effects* / Q000627:therapeutic use; D004347:Drug Interactions; D004359:Drug Therapy, Combination; D006679:HIV Seropositivity / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology; D006801:Humans; D008297:Male; D008803:Mianserin / Q000009:adverse effects / Q000031:analogs & derivatives / Q000627:therapeutic use; D008875:Middle Aged; D000078785:Mirtazapine; D011317:Priapism / Q000139:chemically induced*; D011618:Psychotic Disorders / Q000150:complications / Q000188:drug therapy*; D000069348:Quetiapine Fumarate
D014150:Antipsychotic Agents; D003987:Dibenzothiazepines; D008803:Mianserin; D000069348:Quetiapine Fumarate; D000078785:Mirtazapine; D000661:Amphetamine