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fenfluramine and Adverse Drug Event

fenfluramine has been researched along with Adverse Drug Event in 12 studies

Fenfluramine: A centrally active drug that apparently both blocks serotonin uptake and provokes transport-mediated serotonin release.
fenfluramine : A secondary amino compound that is 1-phenyl-propan-2-amine in which one of the meta-hydrogens is substituted by trifluoromethyl, and one of the hydrogens attached to the nitrogen is substituted by an ethyl group. It binds to the serotonin reuptake pump, causing inhbition of serotonin uptake and release of serotonin. The resulting increased levels of serotonin lead to greater serotonin receptor activation which in turn lead to enhancement of serotoninergic transmission in the centres of feeding behavior located in the hypothalamus. This suppresses the appetite for carbohydrates. Fenfluramine was used as the hydrochloride for treatment of diabetes and obesity. It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Research Excerpts

ExcerptRelevanceReference
" Receptorome screening has implicated N-deethylation of fenfluramine and serotonin 5-hydroxy-t-ryptamine 2B receptors in the adverse effects of the drug; subsequent studies corroborated this finding."2.43Screening the receptorome reveals molecular targets responsible for drug-induced side effects: focus on 'fen-phen'. ( Roth, BL; Setola, V, 2005)
"Benfluorex has been withdrawn from the French market in November 2009, after more than 30 years of use."1.37[Number of deaths attributable to benfluorex]. ( Hill, C, 2011)
" The main purpose of this study was to determine whether chronic administration of fenfluramine increases plasma 5-HT to concentrations that are associated with the development of valvular heart disease."1.35Chronic fenfluramine administration increases plasma serotonin (5-hydroxytryptamine) to nontoxic levels. ( Baumann, MH; Rothman, RB; Zolkowska, D, 2008)
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."1.32Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling. ( Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (8.33)18.2507
2000's5 (41.67)29.6817
2010's6 (50.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Matthews, EJ1
Kruhlak, NL1
Weaver, JL1
Benz, RD1
Contrera, JF1
Droogmans, S1
Kerkhove, D1
Cosyns, B1
Van Camp, G1
Hajjo, R1
Grulke, CM1
Golbraikh, A1
Setola, V2
Huang, XP1
Roth, BL2
Tropsha, A1
Hill, C1
Menard, J1
Butler, D1
Benkimoun, P1
Smith, DA1
Schmid, EF1
Zolkowska, D1
Baumann, MH1
Rothman, RB1
Derby, LE1
Myers, MW1
Jick, H1

Reviews

4 reviews available for fenfluramine and Adverse Drug Event

ArticleYear
Role of echocardiography in toxic heart valvulopathy.
    European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology, 2009, Volume: 10, Issue:4

    Topics: Animals; Drug-Related Side Effects and Adverse Reactions; Echocardiography, Doppler, Color; Female;

2009
Benfluorex: analysis of a drug-related public health crisis.
    Diabetes & metabolism, 2011, Volume: 37, Issue:3

    Topics: Attitude to Health; Communications Media; Drug Industry; Drug-Related Side Effects and Adverse React

2011
Drug withdrawals and the lessons within.
    Current opinion in drug discovery & development, 2006, Volume: 9, Issue:1

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Carbolines; Colitis, Ischemic; Drug Design; Drug-R

2006
Screening the receptorome reveals molecular targets responsible for drug-induced side effects: focus on 'fen-phen'.
    Expert opinion on drug metabolism & toxicology, 2005, Volume: 1, Issue:3

    Topics: Animals; Appetite Depressants; Cardiovascular Diseases; Drug Evaluation, Preclinical; Drug-Related S

2005

Other Studies

8 other studies available for fenfluramine and Adverse Drug Event

ArticleYear
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
    Current drug discovery technologies, 2004, Volume: 1, Issue:4

    Topics: Adverse Drug Reaction Reporting Systems; Artificial Intelligence; Computers; Databases, Factual; Dru

2004
Development, validation, and use of quantitative structure-activity relationship models of 5-hydroxytryptamine (2B) receptor ligands to identify novel receptor binders and putative valvulopathic compounds among common drugs.
    Journal of medicinal chemistry, 2010, Nov-11, Volume: 53, Issue:21

    Topics: Algorithms; Binding, Competitive; Databases, Factual; Dexfenfluramine; Drug-Related Side Effects and

2010
[Number of deaths attributable to benfluorex].
    Presse medicale (Paris, France : 1983), 2011, Volume: 40, Issue:5

    Topics: Cause of Death; Drug-Related Side Effects and Adverse Reactions; Fenfluramine; Humans; Hypolipidemic

2011
France toughens conflict rules.
    Nature, 2011, Oct-11, Volume: 478, Issue:7368

    Topics: Conflict of Interest; Drug Approval; Drug Industry; Drug-Related Side Effects and Adverse Reactions;

2011
Appetite suppressant was probably responsible for 1300 deaths, study shows.
    BMJ (Clinical research ed.), 2012, Feb-09, Volume: 344

    Topics: Appetite Depressants; Drug Industry; Drug-Related Side Effects and Adverse Reactions; Fenfluramine;

2012
In the wake of the Mediator scandal: some progress in France, but apathy at the European level.
    Prescrire international, 2012, Volume: 21, Issue:126

    Topics: Drug Approval; Drug Industry; Drug-Related Side Effects and Adverse Reactions; European Union; Fenfl

2012
Chronic fenfluramine administration increases plasma serotonin (5-hydroxytryptamine) to nontoxic levels.
    The Journal of pharmacology and experimental therapeutics, 2008, Volume: 324, Issue:2

    Topics: Animals; Drug Administration Schedule; Drug-Related Side Effects and Adverse Reactions; Fenfluramine

2008
Use of dexfenfluramine, fenfluramine and phentermine and the risk of stroke.
    British journal of clinical pharmacology, 1999, Volume: 47, Issue:5

    Topics: Aged; Appetite Depressants; Body Mass Index; Case-Control Studies; Cerebrovascular Disorders; Cohort

1999