The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht
Background: Methadone is considered a long-acting opioid agonist which is widely used in the treatment of drug addiction. It is believed that opioids can cause erectile dysfunction (ED) by inhibiting gonadotropin and testosterone release. This study is aimed at defining the possible effects of conse...
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Arak University of Medical Sciences
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doaj-22594ebd5351487c9cf60c571d76466f2020-11-25T02:24:39ZengArak University of Medical SciencesIranian Journal of Toxicology2008-29672251-94592014-06-0182510811085The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of RashtMorteza Rahbar Taramsari0Alireza Badsar1Siavash Falahatkar2Hadi Movassagh3Morteza Fallah KarKan4Sina Montazeri5Hamidreza Molazade6Department of Forensic Medicine and Toxicology, Guilan University of Medical Sciences, Rasht, Iran.Department of Forensic Medicine and Toxicology, Guilan University of Medical Sciences, Rasht, Iran.- *Corresponding Author: E-mail: badsar@gums.ac.ir Department of Urology, Guilan University of Medical Sciences, Rasht, Iran.Medical student of Guilan University of Medical Science, Rasht, Iran.Medical student of Guilan University of Medical Science, Rasht, Iran.Medical student of Guilan University of Medical Science, Rasht, Iran.Radiology Resident Guilan University of Medical Sciences, Rasht, Iran.Background: Methadone is considered a long-acting opioid agonist which is widely used in the treatment of drug addiction. It is believed that opioids can cause erectile dysfunction (ED) by inhibiting gonadotropin and testosterone release. This study is aimed at defining the possible effects of conservative treatment with methadone on erectile dysfunction in the addicts. Methods: A total of 382 male addicts visiting methadone maintenance therapy (MMT) centers in Rasht, Iran, during 2010 were enrolled in this study. International Index of Erectile Function (IIEF) questionnaire and patients' profiles were the main means of collecting data on demographic information, methadone dose intake, and erectile function status before and after the two months of therapy with methadone. Erectile function status was defined by the total score from questions 1, 2, 3, 4, 5, and 15 of the questionnaire. The data was analyzed by X2, McNemer’s test, and paired t-test using SPSS software 18. Results: The mean age of patients was 37.6 ± 8.9 years (range: 18-72 years). Most of the patients were married (79.3%) and they were citizens of Rasht (72.3%). The most frequent substances were opium (188 patients, 49.2%) and crack (129 patients, 33.8%), respectively. Most of the patients received low dose methadone (286 patients, 74.9%). No significant relationship was indicated comparing the average scores of erectile function before and after taking methadone (18.53±6.978 vs. 19.03±5.819) (P=0.138). However, the severity of erectile dysfunction was significantly related to the methadone intake dose (P<0.001). Conclusion: Although MMT increases the frequency of erectile dysfunction, appropriate doses of methadone minimize this effect. http://ijt.arakmu.ac.ir/browse.php?a_id=319&sid=1&slc_lang=enAddictionErectile DysfunctionMethadone Maintenance TherapyRasht. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Morteza Rahbar Taramsari Alireza Badsar Siavash Falahatkar Hadi Movassagh Morteza Fallah KarKan Sina Montazeri Hamidreza Molazade |
spellingShingle |
Morteza Rahbar Taramsari Alireza Badsar Siavash Falahatkar Hadi Movassagh Morteza Fallah KarKan Sina Montazeri Hamidreza Molazade The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht Iranian Journal of Toxicology Addiction Erectile Dysfunction Methadone Maintenance Therapy Rasht. |
author_facet |
Morteza Rahbar Taramsari Alireza Badsar Siavash Falahatkar Hadi Movassagh Morteza Fallah KarKan Sina Montazeri Hamidreza Molazade |
author_sort |
Morteza Rahbar Taramsari |
title |
The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht |
title_short |
The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht |
title_full |
The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht |
title_fullStr |
The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht |
title_full_unstemmed |
The Possible Effects of Methadone Maintenance Therapy on Erectile Dysfunction in Male Addicts Visiting MMT Centers of Rasht |
title_sort |
possible effects of methadone maintenance therapy on erectile dysfunction in male addicts visiting mmt centers of rasht |
publisher |
Arak University of Medical Sciences |
series |
Iranian Journal of Toxicology |
issn |
2008-2967 2251-9459 |
publishDate |
2014-06-01 |
description |
Background: Methadone is considered a long-acting opioid agonist which is widely used in the treatment of drug addiction. It is believed that opioids can cause erectile dysfunction (ED) by inhibiting gonadotropin and testosterone release. This study is aimed at defining the possible effects of conservative treatment with methadone on erectile dysfunction in the addicts.
Methods: A total of 382 male addicts visiting methadone maintenance therapy (MMT) centers in Rasht, Iran, during 2010 were enrolled in this study. International Index of Erectile Function (IIEF) questionnaire and patients' profiles were the main means of collecting data on demographic information, methadone dose intake, and erectile function status before and after the two months of therapy with methadone. Erectile function status was defined by the total score from questions 1, 2, 3, 4, 5, and 15 of the questionnaire. The data was analyzed by X2, McNemer’s test, and paired t-test using SPSS software 18.
Results: The mean age of patients was 37.6 ± 8.9 years (range: 18-72 years). Most of the patients were married (79.3%) and they were citizens of Rasht (72.3%). The most frequent substances were opium (188 patients, 49.2%) and crack (129 patients, 33.8%), respectively. Most of the patients received low dose methadone (286 patients, 74.9%). No significant relationship was indicated comparing the average scores of erectile function before and after taking methadone (18.53±6.978 vs. 19.03±5.819) (P=0.138). However, the severity of erectile dysfunction was significantly related to the methadone intake dose (P<0.001).
Conclusion: Although MMT increases the frequency of erectile dysfunction, appropriate doses of methadone minimize this effect.
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topic |
Addiction Erectile Dysfunction Methadone Maintenance Therapy Rasht. |
url |
http://ijt.arakmu.ac.ir/browse.php?a_id=319&sid=1&slc_lang=en |
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