Page last updated: 2024-10-27

fenfluramine and Alcohol Abuse

fenfluramine has been researched along with Alcohol Abuse in 24 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 It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.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
"Smokers had a blunted prolactin response to fenfluramine compared with nonsmokers without any alcoholism or antisocial personality effects."5.09Cigarette smoking decreases the prolactin response to serotonergic stimulation in subgroups of alcoholics and controls. ( Anthenelli, RM; Maxwell, RA, 2000)
" The prolactin response to fenfluramine (PRF) is generally believed to reflect the activity of the 5HT system and has been previously used to investigate 5HT activity in a variety of conditions, including alcoholism."3.74Prolactin response to fenfluramine in abstinent, alcohol-dependent patients. ( Davies, J; Frampton, C; Joyce, PR; Porter, RJ; Sellman, D, 2008)
"Alcohol dependence has been associated with long-lasting alterations in limbic-hypothalamic-pituitary-adrenal (LHPA) axis and serotonin (5-hydroxytryptamine [5-HT]) function."2.70Stress hormone dysregulation at rest and after serotonergic stimulation among alcohol-dependent men with extended abstinence and controls. ( Anthenelli, RM; Geracioti, TD; Hauger, R; Maxwell, RA, 2001)
" The hypothesis is proposed that this treatment is successful because of the dual and balanced increase in the bioavailability of the neurotransmitters, dopamine and serotonin, in the nucleus accumbens."1.29Combined dopamine and serotonin agonists: a synergistic approach to alcoholism and other addictive behaviors. ( Hitzig, P, 1993)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19905 (20.83)18.7374
1990's8 (33.33)18.2507
2000's11 (45.83)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Anthenelli, RM3
Maxwell, RA3
Berggren, U5
Fahlke, C4
Eriksson, M5
Balldin, J5
Schweitzer, I1
Morris, P1
Hopwood, M1
Maguire, K1
Norman, T1
Berglund, K1
Andersson, M1
Engel, J2
Sher, L1
Milak, MS1
Parsey, RV1
Carballo, JJ1
Cooper, TB2
Malone, KM1
Oquendo, MA1
Mann, JJ1
Porter, RJ1
Sellman, D1
Joyce, PR1
Davies, J1
Frampton, C1
Hitzig, P1
Coccaro, EF2
Silverman, JM1
Klar, HM2
Horvath, TB1
Siever, LJ2
Sellers, EM2
Farren, CK1
Ziedonis, D1
Clare, AW1
Hammeedi, FA1
Dinan, TG1
Schulz, KP1
McKay, KE1
Newcorn, JH1
Sharma, V1
Gabriel, S1
Halperin, JM1
Buydens-Branchey, L1
Branchey, M1
Hudson, J1
Rothman, M1
Fergeson, P1
McKernin, C1
Geracioti, TD1
Hauger, R1
Weijers, HG1
Wiesbeck, GA1
Jakob, F1
Böning, J1
Krasner, N2
Moore, MR2
Goldberg, A2
Booth, JC1
Frame, AH1
McLaren, AD1
Higgins, GA1
Tompkins, DM1
Romach, MK1
Maurer, G1
Cochrane, K1
Mohs, RC1
Davis, KL1
Liskow, BI1
Goodwin, DW1
Levin, A1
Dow, J1
MacDonald, CM1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Pimavanserin on Aggression and Social Cognition.[NCT05895513]Phase 235 participants (Anticipated)Interventional2024-01-31Not yet recruiting
Acamprosate for Central Nervous System Hyperexcitability and Neuroadaptation in Alcohol Withdrawal[NCT00106106]Phase 256 participants (Actual)Interventional2005-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Ratio of Glutamate to Creatine in the Anterior Cingulate of the Brain, Measured on Day 25

The ratio of glutamate to creatine was determined using magnetic resonance spectroscopy (MRS), a technique that complements magnetic resonance imaging (MRI). MRS is used to determine the concentration of brain metabolites, such as glutamate, in brain tissue. MRS utilizes a magnetic field to look at magnetic nuclei, which absorb and re-emit electromagnetic energy in the presence of the magnetic field. By looking at the peaks in the resultant spectra the structure and concentration of metabolites can be determined. (NCT00106106)
Timeframe: Day 25

InterventionRatio of glutamate to creatine (Mean)
Placebo1.350375
Acamprosate1.166667

Ratio of Glutamate to Creatine in the Anterior Cingulate of the Brain, Measured on Day 4

The ratio of glutamate to creatine was determined using magnetic resonance spectroscopy (MRS), a technique that complements magnetic resonance imaging (MRI). MRS is used to determine the concentration of brain metabolites, such as glutamate, in brain tissue. MRS utilizes a magnetic field to look at magnetic nuclei, which absorb and re-emit electromagnetic energy in the presence of the magnetic field. By looking at the peaks in the resultant spectra the structure and concentration of metabolites can be determined. (NCT00106106)
Timeframe: Day 4

InterventionRatio of glutamate to creatine (Mean)
Placebo1.256772
Acamprosate1.294178

Reviews

1 review available for fenfluramine and Alcohol Abuse

ArticleYear
Pharmacological treatment of alcohol intoxication, withdrawal and dependence: a critical review.
    Journal of studies on alcohol, 1987, Volume: 48, Issue:4

    Topics: Alcohol Deterrents; Alcoholic Intoxication; Alcoholism; Antidepressive Agents, Tricyclic; Bromocript

1987

Trials

8 trials available for fenfluramine and Alcohol Abuse

ArticleYear
Independent alcohol and tobacco effects on stress axis function.
    Alcoholism, clinical and experimental research, 2002, Volume: 26, Issue:12

    Topics: Adrenocorticotropic Hormone; Alcoholism; Double-Blind Method; Female; Fenfluramine; Humans; Hydrocor

2002
Neuroendocrine evidence for reduced serotonergic neurotransmission during heavy drinking.
    Alcoholism, clinical and experimental research, 1994, Volume: 18, Issue:4

    Topics: Adult; Alcoholic Intoxication; Alcoholism; Body Temperature Regulation; Citalopram; Cross-Over Studi

1994
Serotonin function and risk for alcoholism in boys with attention-deficit hyperactivity disorder.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 1998, Volume: 18, Issue:1

    Topics: Alcoholism; Attention Deficit Disorder with Hyperactivity; Child; Fenfluramine; Humans; Hydrocortiso

1998
Serotonergic function in cocaine addicts: prolactin responses to sequential D,L-fenfluramine challenges.
    Biological psychiatry, 1999, May-15, Volume: 45, Issue:10

    Topics: Administration, Oral; Adult; Alcoholism; Child of Impaired Parents; Cocaine-Related Disorders; Fathe

1999
Cigarette smoking decreases the prolactin response to serotonergic stimulation in subgroups of alcoholics and controls.
    Alcoholism, clinical and experimental research, 2000, Volume: 24, Issue:7

    Topics: Adolescent; Adult; Alcoholism; Analysis of Variance; Chi-Square Distribution; Fenfluramine; Humans;

2000
Stress hormone dysregulation at rest and after serotonergic stimulation among alcohol-dependent men with extended abstinence and controls.
    Alcoholism, clinical and experimental research, 2001, Volume: 25, Issue:5

    Topics: Adrenocorticotropic Hormone; Adult; Alcoholism; Analysis of Variance; Antisocial Personality Disorde

2001
A trial of fenfluramine in the treatment of the chronic alcoholic patient.
    The British journal of psychiatry : the journal of mental science, 1976, Volume: 128

    Topics: Administration, Oral; Alcoholism; Chronic Disease; Clinical Trials as Topic; Dose-Response Relations

1976
Serotonin and alcohol drinking.
    NIDA research monograph, 1992, Volume: 119

    Topics: 1-Naphthylamine; Adult; Alcohol Drinking; Alcoholism; Animals; Double-Blind Method; Fenfluramine; Hu

1992

Other Studies

15 other studies available for fenfluramine and Alcohol Abuse

ArticleYear
Tobacco use is associated with reduced central serotonergic neurotransmission in type 1 alcohol-dependent individuals.
    Alcoholism, clinical and experimental research, 2003, Volume: 27, Issue:8

    Topics: Adult; Aged; Alcoholism; Analysis of Variance; Fenfluramine; Humans; Male; Middle Aged; Prolactin; S

2003
Prolactin response to d-fenfluramine in combat-related post-traumatic stress disorder.
    The international journal of neuropsychopharmacology, 2004, Volume: 7, Issue:3

    Topics: Adult; Alcoholism; Area Under Curve; Combat Disorders; Female; Fenfluramine; Humans; Male; Middle Ag

2004
Personality profile in type I alcoholism: long duration of alcohol intake and low serotonergic activity are predictive factors of anxiety proneness.
    Journal of neural transmission (Vienna, Austria : 1996), 2006, Volume: 113, Issue:9

    Topics: Adult; Aged; Aggression; Alcoholism; Anxiety; Fenfluramine; Humans; Male; Middle Aged; Personality;

2006
Inverse relationship between central serotonergic neurotransmission and blood pressure in alcohol-dependent male subjects.
    Journal of neural transmission (Vienna, Austria : 1996), 2006, Volume: 113, Issue:10

    Topics: Adult; Alcoholism; Blood Pressure; Brain; Fenfluramine; Humans; Male; Middle Aged; Prolactin; Seroto

2006
Positron emission tomography study of regional brain metabolic responses to a serotonergic challenge in major depressive disorder with and without comorbid lifetime alcohol dependence.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2007, Volume: 17, Issue:9

    Topics: Adult; Alcoholism; Brain; Brain Mapping; Depressive Disorder, Major; Female; Fenfluramine; Fluorodeo

2007
Prolactin response to fenfluramine in abstinent, alcohol-dependent patients.
    Addiction biology, 2008, Volume: 13, Issue:3-4

    Topics: Adult; Alcoholism; Depressive Disorder, Major; Diagnostic and Statistical Manual of Mental Disorders

2008
Combined dopamine and serotonin agonists: a synergistic approach to alcoholism and other addictive behaviors.
    Maryland medical journal (Baltimore, Md. : 1985), 1993, Volume: 42, Issue:2

    Topics: Adult; Alcohol Deterrents; Alcoholism; Dopamine Agents; Drug Synergism; Female; Fenfluramine; Humans

1993
Familial correlates of reduced central serotonergic system function in patients with personality disorders.
    Archives of general psychiatry, 1994, Volume: 51, Issue:4

    Topics: Aggression; Alcoholism; Family; Fenfluramine; Humans; Impulsive Behavior; Male; Personality Disorder

1994
Medications to treat alcoholism?
    Maryland medical journal (Baltimore, Md. : 1985), 1993, Volume: 42, Issue:2

    Topics: Alcohol Deterrents; Alcoholism; Drug Synergism; Fenfluramine; Humans; Phentermine

1993
D-fenfluramine-induced prolactin responses in postwithdrawal alcoholics and controls.
    Alcoholism, clinical and experimental research, 1995, Volume: 19, Issue:6

    Topics: Adult; Alcohol Withdrawal Delirium; Alcoholism; Fenfluramine; Genotype; Humans; Male; Middle Aged; P

1995
Neuroendocrine responses to fenfluramine and its relationship to personality in alcoholism.
    Journal of neural transmission (Vienna, Austria : 1996), 2001, Volume: 108, Issue:8-9

    Topics: Adult; Alcohol-Induced Disorders, Nervous System; Alcoholism; Anxiety; Brain; Extraversion, Psycholo

2001
Is long-term heavy alcohol consumption toxic for brain serotonergic neurons? Relationship between years of excessive alcohol consumption and serotonergic neurotransmission.
    Drug and alcohol dependence, 2002, Jan-01, Volume: 65, Issue:2

    Topics: Alcoholism; Brain; Ethanol; Fenfluramine; Humans; Male; Middle Aged; Receptors, Serotonin; Selective

2002
Serotonergic studies in patients with affective and personality disorders. Correlates with suicidal and impulsive aggressive behavior.
    Archives of general psychiatry, 1989, Volume: 46, Issue:7

    Topics: Adult; Aggression; Alcoholism; Depressive Disorder; Fenfluramine; Humans; Impulsive Behavior; Male;

1989
The pattern of drug-taking among drug-dependent South African national servicemen.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1972, Nov-04, Volume: 46, Issue:44

    Topics: Adolescent; Adult; Age Factors; Alcoholism; Amphetamine; Barbiturates; Cannabis; Cocaine; Datura str

1972
Clinical and experimental studies on alcoholism.
    Health bulletin, 1973, Volume: 31, Issue:6

    Topics: Alcohol Deterrents; Alcoholism; Animals; Disulfiram; Ethanol; Fenfluramine; Humans; Liver Diseases;

1973