[Adverse effects of psychiatric drugs on sexual functions].

Several groups of pharmacological agents have been reported to disrupt normal sexual function. Psychotropic medications, such as antidepressants and antipsychotics, have also been associated with sexual side effects. The procedure by which, the basic physiologic mechanisms of the normal sexual phases (libido, arousal, and orgasm) are disrupted by some psychotropics provide a framework to minimize sexual side effects when initiating and continuing treatment. Successful management of sexual complaints during treatment should begin with a systematic approach to determine the type of sexual dysfunction, potential contributing factors, and finally delineating strategies that should be tailored to the individual patient. This article provides guidelines for the assessment, management, and prevention of sexual side effects associated with antidepressant and antipsychotic treatment.