PHARMACOLOGICAL TREATMENT OF PARAPHILIAS WITH A FOCUS ON ANTIDEPRESSANTS

This article reviews the advances in pharmacotherapy of paraphilias. A ntiandrogen hormones, phenothiazines, and lithium therapy of paraphili as is briefly reviewed. Pharmacotherapy of paraphilias with serotonerg ic drugs such as fluoxetine, clomipramine, sertraline, and fluvoxamine is reviewed in detail. In addition, the use of buspirone hydrochlorid e in paraphilias is discussed. The final focus of the article is on th e etiologic theories of paraphilias and some practical advice for the pharmacotherapy and management of paraphilias.