Abstract: Problematic pornography use remains a debatable entity, with features overlapping behavioral addictions and impulse control disorders. The controversial nosological status also provides challenges in formulating management plans as there exists no proven pharmacotherapy. We reviewed the bio-physiological basis and available evidence for naltrexone for the management of pornography addiction. Evidence supporting naltrexone as a standalone or adjunctive treatment in pornography addiction is limited. The case report suggesting positive outcomes represents a heterogeneous clinical entity and thus cannot be generalized. More rigorous clinical trials are needed to establish naltrexone’s efficacy in the management of problematic pornography use.

Keywords: Hypersexual disorder, naltrexone, pornography, problematic sexual behaviors