Evidence map›Paper›PMID 33998993›Full record

ReviewCurrent neuropharmacology2022

Off-label Uses of Selective Serotonin Reuptake Inhibitors (SSRIs).

Tommaso B Jannini, Giorgio D Lorenzo, Emanuela Bianciardi, Cinzia Niolu, Massimiliano Toscano, Giacomo Ciocca, Emmanuele A Jannini, Alberto Siracusano

Open access · greenAbstract readReview
In one paragraph

Review in Current neuropharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Review
  6. Review
  7. Tryptophan's Journey Through Pregnancy: The Role of Serotonin.International journal of tryptophan research : IJTR · 2026
    Review
  8. Review
  9. Article
  10. Review
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  20. Hallmarks of primary headache: part 1 - migraine.The journal of headache and pain · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Tommaso B JanniniDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Giorgio D LorenzoDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Emanuela BianciardiDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Cinzia NioluDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Massimiliano ToscanoDepartment of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Giacomo CioccaDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.
Emmanuele A JanniniDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Alberto SiracusanoDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
University of Rome Tor Vergata · ITFatebenefratelli Hospital · ITFondazione Santa Lucia · ITSapienza University of Rome · IT

Funding

PRIN 2017S9KTNE_002
6 · The paper itself

Abstract

Psychiatric drugs have primacy for off-label prescribing. Among those, selective serotonin reuptake inhibitors (SSRIs) are highly versatile and, therefore, widely prescribed. Moreover, they are commonly considered as having a better safety profile compared to other antidepressants. Thus, when it comes to off-label prescribing, SSRIs rank among the top positions. In this review, we present the state of the art of off-label applications of selective serotonin reuptake inhibitors, ranging from migraine prophylaxis to SARS-CoV-2 antiviral properties. Research on SSRIs provided significant evidence in the treatment of premature ejaculation, both with the on-label dapoxetine 30 mg and the off-label paroxetine 20 mg. However, other than a serotoninergic syndrome, serious conditions like increased bleeding rates, hyponatremia, hepatoxicity, and post-SSRIs sexual dysfunctions, are consistently more prominent when using such compounds. These insidious side effects might be frequently underestimated during common clinical practice, especially by nonpsychiatrists. Thus, some points must be addressed when using SSRIs. Among these, a psychiatric evaluation before every administration that falls outside the regulatory agencies-approved guidelines has to be considered mandatory. For these reasons, we aim with the present article to identify the risks of inappropriate uses and to advocate the need to actively boost research encouraging future clinical trials on this topic.

Indexed as

COVID-19 Drug TreatmentSelective Serotonin Reuptake InhibitorsEjaculationHumansMaleOff-Label UseSARS-CoV-2Selective Serotonin Reuptake Inhibitorsantidepressantshypersexualityoff-labelparaphilic disorderspremature ejaculationPSSDSSRI

Identifiers

PMID33998993
PMCPMC9878961
OpenAlexW3163175644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.