Evidence map›Paper›PMID 35597798›Full record

ArticleInternational journal of impotence research2024

Medications mostly associated with priapism events: assessment of the 2015-2020 Food and Drug Administration (FDA) pharmacovigilance database entries.

Nicolò Schifano, Paolo Capogrosso, Luca Boeri, Giuseppe Fallara, Omer Onur Cakir, Fabio Castiglione, Hussain M Alnajjar, Asif Muneer, Federico Deho', Fabrizio Schifano and 2 more

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In one paragraph

Article in International journal of impotence research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. A narrative review of initial treatment for ischemic priapism.International journal of impotence research · 2026
    Review
  4. The assessment and aetiology of drug-induced ischaemic priapism.International journal of impotence research · 2026
    Review
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. A case of recurrent priapism during prolonged clozapine administrationRevista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Nicolò SchifanoUniversità Vita-Salute San Raffaele, Milan, Italy.ORCID http://orcid.org/0000-0003-4828-4316
Paolo CapogrossoASST Sette Laghi-Circolo e Fondazione Macchi Hospital, Varese, Italy.ORCID http://orcid.org/0000-0003-2347-9504
Luca BoeriDivision of Experimental Oncology/Unit of Urology, URI; IRCCS Ospedale San Raffaele, Milan, Italy.ORCID http://orcid.org/0000-0003-0040-784X
Giuseppe FallaraUniversità Vita-Salute San Raffaele, Milan, Italy.
Omer Onur CakirInstitute of Andrology, Department of Urology, University College London Hospitals NHS Trust, London, UK.
Fabio CastiglioneInstitute of Andrology, Department of Urology, University College London Hospitals NHS Trust, London, UK.ORCID http://orcid.org/0000-0001-8046-1963
Hussain M AlnajjarInstitute of Andrology, Department of Urology, University College London Hospitals NHS Trust, London, UK.
Asif MuneerInstitute of Andrology, Department of Urology, University College London Hospitals NHS Trust, London, UK.
Federico Deho'ASST Sette Laghi-Circolo e Fondazione Macchi Hospital, Varese, Italy.
Fabrizio SchifanoPsychopharmacology; Drug Misuse; and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, Herts, UK.
Francesco MontorsiUniversità Vita-Salute San Raffaele, Milan, Italy.
Andrea SaloniaUniversità Vita-Salute San Raffaele, Milan, Italy. salonia.andrea@hsr.it.ORCID http://orcid.org/0000-0002-0595-7165
University College London Hospitals NHS Foundation Trust · GBVita-Salute San Raffaele University · ITOspedale di Circolo e Fondazione Macchi · ITUniversity of Hertfordshire · GBUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A range of drugs have a direct role in triggering ischaemic priapism. We aimed at identifying: a) which medications are associated with most priapism-reports; and, b) within these medications, comparing their potential to elicit priapism through a disproportionality analysis. The FDA Adverse Event Reporting System (FAERS) database was queried to identify those drugs associated the most with priapism reports over the last 5 years. Only those drugs being associated with a minimum of 30 priapism reports were considered. The Proportional Reporting Ratios (PRRs), and their 95% confidence intervals were computed. Out of the whole 2015-2020 database, 1233 priapism reports were identified, 933 of which (75.7%) were associated with 11 medications with a minimum of 30 priapism-reports each. Trazodone, olanzapine and tadalafil showed levels of disproportionate reporting, with a PRR of 9.04 (CI95%: 7.73-10.58), 1.55 (CI95%: 1.27-1.89), and 1.42 (CI95%: 1.10-1.43), respectively. Most (57.5%) of the reports associated with the phosphodiesterase type 5 inhibitors (PDE5Is) were related with concomitant priapism-eliciting drugs taken at the same time and/or inappropriate intake/excessive dosage. Patients taking trazodone and/or antipsychotics need to be aware of the priapism-risk; awareness among prescribers would help in reducing priapism-related detrimental sequelae; PDE5I-intake is not responsible for priapism by itself, when appropriate medical supervision is provided.

Indexed as

PriapismTrazodoneHumansMalePharmacovigilancePhosphodiesterase 5 InhibitorsUnited StatesUnited States Food and Drug AdministrationPhosphodiesterase 5 InhibitorsTrazodone

Identifiers

PMID35597798
OpenAlexW4281253806

What OpenQuestion holds

Textmetadata
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.