Escitalopram Associated with Priapism: A Rare Case Report

Priapism is a pathologic condition characterized by the penile erection that persists beyond or is unrelated to sexual stimulation. A 35-year-old male patient presented to the Surgery Emergency Unit with a painful erection for the past 15 hours. This was his third episode in the past 2 months. The l...

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Main Authors: Ankit Halder, Navna Panchami, Gurudas Harshe
Format: Article
Language:English
Published: Jaypee Brothers Medical Publisher 2022-08-01
Series:Indian Journal of Private Psychiatry
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Online Access:https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0123
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author Ankit Halder
Navna Panchami
Gurudas Harshe
author_facet Ankit Halder
Navna Panchami
Gurudas Harshe
author_sort Ankit Halder
collection DOAJ
description Priapism is a pathologic condition characterized by the penile erection that persists beyond or is unrelated to sexual stimulation. A 35-year-old male patient presented to the Surgery Emergency Unit with a painful erection for the past 15 hours. This was his third episode in the past 2 months. The last 2 episodes being for 5–6 hours each within intervals of 3 weeks. The patient was diagnosed to be in major depression 6 months back and was placed on escitalopram 10 mg for the first 2 months and then was raised to 20 mg once daily dose. Priapism episodes started 4 months following an increase in dosing. Escitalopram was cross-tapered to nortriptyline over a 1 month. In subsequent follow-up visits for 3 months, the patient experienced no further such episodes. Selective serotonin reuptake inhibitors (SSRIs), mostly escitalopram, are frequently prescribed nowadays for their better tolerability profile. So, while prescribing such medications, psychoeducation of the patients regarding such side effects and meticulous monitoring of the same can be lifesaving many a time.
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spelling doaj-art-1401e1355d5b4598bee09d42216e265c2025-08-20T02:27:56ZengJaypee Brothers Medical PublisherIndian Journal of Private Psychiatry2319-53632583-40102022-08-01162959610.5005/jp-journals-10067-012311Escitalopram Associated with Priapism: A Rare Case ReportAnkit Halder0Navna Panchami1Gurudas Harshe2Ankit Halder, Department of Psychiatry, DY Patil Medical College and Hospital, Kolhapur, Maharashtra, India, Phone: +91 7908519912Department of Psychiatry, DY Patil Medical College and Hospital, Kolhapur, Maharashtra, IndiaDepartment of Psychiatry, DY Patil Medical College and Hospital, Kolhapur, Maharashtra, IndiaPriapism is a pathologic condition characterized by the penile erection that persists beyond or is unrelated to sexual stimulation. A 35-year-old male patient presented to the Surgery Emergency Unit with a painful erection for the past 15 hours. This was his third episode in the past 2 months. The last 2 episodes being for 5–6 hours each within intervals of 3 weeks. The patient was diagnosed to be in major depression 6 months back and was placed on escitalopram 10 mg for the first 2 months and then was raised to 20 mg once daily dose. Priapism episodes started 4 months following an increase in dosing. Escitalopram was cross-tapered to nortriptyline over a 1 month. In subsequent follow-up visits for 3 months, the patient experienced no further such episodes. Selective serotonin reuptake inhibitors (SSRIs), mostly escitalopram, are frequently prescribed nowadays for their better tolerability profile. So, while prescribing such medications, psychoeducation of the patients regarding such side effects and meticulous monitoring of the same can be lifesaving many a time.https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0123escitaloprampriapismrare
spellingShingle Ankit Halder
Navna Panchami
Gurudas Harshe
Escitalopram Associated with Priapism: A Rare Case Report
Indian Journal of Private Psychiatry
escitalopram
priapism
rare
title Escitalopram Associated with Priapism: A Rare Case Report
title_full Escitalopram Associated with Priapism: A Rare Case Report
title_fullStr Escitalopram Associated with Priapism: A Rare Case Report
title_full_unstemmed Escitalopram Associated with Priapism: A Rare Case Report
title_short Escitalopram Associated with Priapism: A Rare Case Report
title_sort escitalopram associated with priapism a rare case report
topic escitalopram
priapism
rare
url https://www.ijiapp.com/doi/IJPP/pdf/10.5005/jp-journals-10067-0123
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