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Nalmefene in the Treatment of Internet Pornography Addiction - A Case Report and Review of Literature.

Abstract

: The mu-opioid antagonist nalmefene (18 mg per day) was administered in the treatment of a heterosexual male with internet pornography addiction. The patient had no other co-addictions or psychiatric comorbidities, allowing a direct measurement for the effectiveness of nalmefene on internet pornography addiction. Over a period of 72 weeks and an assessment frequency between 1 and 18 weeks, self-monitoring assessments of craving and pornography consumption were collected on different craving and obsessive-compulsive scales. Results indicate that nalmefene impressively decreased addictive symptoms. Importantly, the patient-induced discontinuation of nalmefene led to an immediate increase of craving scores and addictive behavior, which dropped again after restarting the medication. The patient has been in complete remission of symptoms for over a year under our supervision, and for further 2 years after that according to his account. Therefore, nalmefene seems to be a useful adjunction for patients with internet pornography addiction.

Authors+Show Affiliations

Kepler University Hospital, Department of Psychiatry - Specialization Addiction Medicine, Linz, Austria (KY, IF-L, NWG); Johannes Kepler University Linz, Faculty of Medicine, Linz, Austria (KY, IF-L, NWG).No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31972764

Citation

Yazdi, Kurosch, et al. "Nalmefene in the Treatment of Internet Pornography Addiction - a Case Report and Review of Literature." Journal of Addiction Medicine, 2020.
Yazdi K, Fuchs-Leitner I, Gerstgrasser NW. Nalmefene in the Treatment of Internet Pornography Addiction - A Case Report and Review of Literature. J Addict Med. 2020.
Yazdi, K., Fuchs-Leitner, I., & Gerstgrasser, N. W. (2020). Nalmefene in the Treatment of Internet Pornography Addiction - A Case Report and Review of Literature. Journal of Addiction Medicine, doi:10.1097/ADM.0000000000000602.
Yazdi K, Fuchs-Leitner I, Gerstgrasser NW. Nalmefene in the Treatment of Internet Pornography Addiction - a Case Report and Review of Literature. J Addict Med. 2020 Jan 14; PubMed PMID: 31972764.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Nalmefene in the Treatment of Internet Pornography Addiction - A Case Report and Review of Literature. AU - Yazdi,Kurosch, AU - Fuchs-Leitner,Isabella, AU - Gerstgrasser,Nikolas W, Y1 - 2020/01/14/ PY - 2020/1/24/entrez PY - 2020/1/24/pubmed PY - 2020/1/24/medline JF - Journal of addiction medicine JO - J Addict Med N2 - : The mu-opioid antagonist nalmefene (18 mg per day) was administered in the treatment of a heterosexual male with internet pornography addiction. The patient had no other co-addictions or psychiatric comorbidities, allowing a direct measurement for the effectiveness of nalmefene on internet pornography addiction. Over a period of 72 weeks and an assessment frequency between 1 and 18 weeks, self-monitoring assessments of craving and pornography consumption were collected on different craving and obsessive-compulsive scales. Results indicate that nalmefene impressively decreased addictive symptoms. Importantly, the patient-induced discontinuation of nalmefene led to an immediate increase of craving scores and addictive behavior, which dropped again after restarting the medication. The patient has been in complete remission of symptoms for over a year under our supervision, and for further 2 years after that according to his account. Therefore, nalmefene seems to be a useful adjunction for patients with internet pornography addiction. SN - 1935-3227 UR - https://www.unboundmedicine.com/medline/citation/31972764/Nalmefene_in_the_Treatment_of_Internet_Pornography_Addiction_-_A_Case_Report_and_Review_of_Literature L2 - http://dx.doi.org/10.1097/ADM.0000000000000602 DB - PRIME DP - Unbound Medicine ER -