Page last updated: 2024-10-26

fenfluramine and Anorexia

fenfluramine has been researched along with Anorexia in 39 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 It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Anorexia: The lack or loss of APPETITE accompanied by an aversion to food and the inability to eat. It is the defining characteristic of the disorder ANOREXIA NERVOSA.

Research Excerpts

ExcerptRelevanceReference
"We previously reported that lesions of the medial parabrachial nucleus (PBN) enhanced d-fenfluramine (DFEN)-induced anorexia; a finding that suggests these lesions may potentiate the release of serotonin (5HT) or increase the postsynaptic action of 5HT."7.73Medial parabrachial nucleus neurons modulate d-fenfluramine-induced anorexia through 5HT2C receptors. ( Reilly, S; Trifunovic, R, 2006)
"Previously, we have shown that repeated administration of d-fenfluramine (D-F) to rats is associated with development of tolerance to the initial anorexia, but that in mice no such tolerance seems to occur."7.72Relationship between anorexia and loss of serotonin uptake sites in brain of mice and rats receiving d-norfenfluramine or d-fenfluramine. ( Green, DJ; Robertson, K; Rokadia, S; Rowland, NE, 2004)
" The present study compared the patterns of c-fos protein-like immunoreactivity (FLI) induced in rat brain by CCK and the indirect 5HT agonist dexfenfluramine (DFEN), as well as the ability for devazepide, a CCK-A receptor antagonist, to antagonize both anorexia and FLI induced by these agents."7.69Cholecystokinin- and dexfenfluramine-induced anorexia compared using devazepide and c-fos expression in the rat brain. ( Li, BH; Rowland, NE, 1994)
"These studies investigated the involvement of the 5-HT1A receptor in mediating d-fenfluramine-induced anorexia in the rat."7.69Behavioural evidence that d-fenfluramine-induced anorexia in the rat is not mediated by the 5-HT1A receptor subtype. ( Clifton, PG; Dourish, CT; Vickers, SP, 1996)
" Equivalent levels of anorexia induced by fenfluramine and mazindol were similarly antagonized by methysergide in a dose-related manner."7.65Inhibition of drug-induced anorexia in rats by methysergide. ( Barrett, AM; McSharry, L, 1975)
" In recently published randomized controlled trials, fenfluramine (FFA) proved to be safe and effective in DS."6.94Efficacy and safety of Fenfluramine hydrochloride for the treatment of seizures in Dravet syndrome: A real-world study. ( Battaglia, D; Cossu, A; Dalla Bernardina, B; Darra, F; Doccini, V; Granata, T; Guerrini, R; Luigia Gambardella, M; Mei, D; Pietrafusa, N; Quintiliani, M; Ragona, F; Rosati, A; Specchio, N; Spolverato, S; Trivisano, M; Vigevano, F, 2020)
" The threshold dose was two to three times higher in CD rats than in their intact controls, but the dynamic range of the dose-response curves of the two groups were overlapping with similar slopes of decline and with comparable maximal intake suppression."5.30Contribution of caudal brainstem to d-fenfluramine anorexia. ( Donahey, JC; Grill, HJ; Kaplan, JM; King, L, 1997)
"We previously reported that lesions of the medial parabrachial nucleus (PBN) enhanced d-fenfluramine (DFEN)-induced anorexia; a finding that suggests these lesions may potentiate the release of serotonin (5HT) or increase the postsynaptic action of 5HT."3.73Medial parabrachial nucleus neurons modulate d-fenfluramine-induced anorexia through 5HT2C receptors. ( Reilly, S; Trifunovic, R, 2006)
" The selective effects of OEA in free-feeding rats are strikingly different from those of the serotonergic anorexiant d-fenfluramine (which delayed feeding and reduced meal size) and the intestinal peptide cholecystokinin (which reduced meal size)."3.72Modulation of meal pattern in the rat by the anorexic lipid mediator oleoylethanolamide. ( Gaetani, S; Oveisi, F; Piomelli, D, 2003)
"These studies investigated the involvement of the 5-HT1A receptor in mediating d-fenfluramine-induced anorexia in the rat."3.69Behavioural evidence that d-fenfluramine-induced anorexia in the rat is not mediated by the 5-HT1A receptor subtype. ( Clifton, PG; Dourish, CT; Vickers, SP, 1996)
" Equivalent levels of anorexia induced by fenfluramine and mazindol were similarly antagonized by methysergide in a dose-related manner."3.65Inhibition of drug-induced anorexia in rats by methysergide. ( Barrett, AM; McSharry, L, 1975)
" In recently published randomized controlled trials, fenfluramine (FFA) proved to be safe and effective in DS."2.94Efficacy and safety of Fenfluramine hydrochloride for the treatment of seizures in Dravet syndrome: A real-world study. ( Battaglia, D; Cossu, A; Dalla Bernardina, B; Darra, F; Doccini, V; Granata, T; Guerrini, R; Luigia Gambardella, M; Mei, D; Pietrafusa, N; Quintiliani, M; Ragona, F; Rosati, A; Specchio, N; Spolverato, S; Trivisano, M; Vigevano, F, 2020)
" The threshold dose was two to three times higher in CD rats than in their intact controls, but the dynamic range of the dose-response curves of the two groups were overlapping with similar slopes of decline and with comparable maximal intake suppression."1.30Contribution of caudal brainstem to d-fenfluramine anorexia. ( Donahey, JC; Grill, HJ; Kaplan, JM; King, L, 1997)
"Like devazepide, IQM-95,333 was a more potent antagonist of CCK-8S- than of CCK-4-induced contraction of the longitudinal muscle from guinea-pig ileum, suggesting selective antagonism at CCKA receptors."1.30Pharmacological evaluation of IQM-95,333, a highly selective CCKA receptor antagonist with anxiolytic-like activity in animal models. ( Ballaz, S; Barber, A; Del Río, J; Fortuño, A; García-López, MT; Gómez-Monterrey, I; González-Muñiz, R; Herranz, R; Martin-Martínez, M, 1997)
"Fenfluramine + phentermine was a widely used combination for weight loss."1.30Anorectic efficacy of the fenfluramine/phentermine combination in rats: additivity or synergy? ( Roth, JD; Rowland, NE, 1999)
"Treatment with fenfluramine or fluoxetine increased post-fasting anorexia, abolished the preference for carbohydrates and decreased lipid intake."1.29Effect of activation of the serotoninergic system during prolonged starvation on subsequent caloric intake and macronutrient selection in the Zucker rat. ( Duhault, J; Espinal, J; Lacour, F; Rolland, Y, 1993)

Research

Studies (39)

TimeframeStudies, this research(%)All Research%
pre-199016 (41.03)18.7374
1990's13 (33.33)18.2507
2000's8 (20.51)29.6817
2010's1 (2.56)24.3611
2020's1 (2.56)2.80

Authors

AuthorsStudies
Specchio, N1
Pietrafusa, N1
Doccini, V1
Trivisano, M1
Darra, F1
Ragona, F1
Cossu, A1
Spolverato, S1
Battaglia, D1
Quintiliani, M1
Luigia Gambardella, M1
Rosati, A1
Mei, D1
Granata, T1
Dalla Bernardina, B1
Vigevano, F1
Guerrini, R1
Xu, Y1
Jones, JE1
Lauzon, DA1
Anderson, JG1
Balthasar, N1
Heisler, LK1
Zinn, AR1
Lowell, BB1
Elmquist, JK1
Gaetani, S1
Oveisi, F1
Piomelli, D1
Rowland, NE4
Rokadia, S1
Green, DJ1
Robertson, K1
Atchley, DP1
Eckel, LA2
Rivera, HM1
Trifunovic, R2
Reilly, S2
Hillebrand, JJ1
Heinsbroek, AC1
Kas, MJ1
Adan, RA1
Silverstone, T2
Carlton, J2
Rowland, N1
Samanin, R2
Caccia, S1
Bendotti, C1
Borsini, F1
Borroni, E1
Invernizzi, R1
Pataccini, R1
Mennini, T2
Leshem, M1
Garattini, S1
McCann, UD2
Yuan, J2
Ricaurte, GA2
Li, BH1
Rieg, TS1
Maestrello, AM1
Aravich, PF1
Duhault, J1
Lacour, F1
Espinal, J1
Rolland, Y1
Vickers, SP1
Clifton, PG1
Dourish, CT1
Grill, HJ1
Donahey, JC1
King, L1
Kaplan, JM1
Hatzidimitriou, G1
Ballaz, S1
Barber, A1
Fortuño, A1
Del Río, J1
Martin-Martínez, M1
Gómez-Monterrey, I1
Herranz, R1
González-Muñiz, R1
García-López, MT1
Fasciano, J1
Steele, T1
Castagnoli, N1
Katz, J1
Ricaurte, G1
Lucas, JJ1
Yamamoto, A1
Scearce-Levie, K1
Saudou, F1
Hen, R1
Currie, PJ1
Coscina, DV1
Fletcher, PJ2
Roth, JD1
Voigt, JP1
Wenz, D1
Voits, M1
Fink, H1
Barrett, AM1
McSharry, L1
Sugrue, MF1
Goodlet, I1
McIndewar, I1
Antelman, SM1
Caggiula, AR1
Black, CA1
Edwards, DJ1
Förster, H1
Huth, K1
Koch, E1
Tunali, G1
Clark, JM1
Clark, AJ1
Winn, P1
Stallone, D1
Nicolaïdis, S1
Gibbs, J1
Burton, MJ1
Wolgin, DL1
Oslan, IA1
Thompson, GB1
Goodall, E1
Hewson, G1
Leighton, GE1
Hill, RG1
Hughes, J1
Majeed, NH1
Lasoń, W1
Przewłocka, B1
Przewłocki, R1

Reviews

2 reviews available for fenfluramine and Anorexia

ArticleYear
The clinical pharmacology of appetite--its relevance to psychiatry.
    Psychological medicine, 1983, Volume: 13, Issue:2

    Topics: Amphetamine; Anorexia; Appetite; Bipolar Disorder; Brain Chemistry; Depressive Disorder; Dopamine; F

1983
Neurobiology of an anorectic drug: fenfluramine.
    Progress in neurobiology, 1986, Volume: 27, Issue:1

    Topics: Acute Disease; Adipose Tissue; Animals; Anorexia; Arousal; Avoidance Learning; Behavior Therapy; Bod

1986

Trials

1 trial available for fenfluramine and Anorexia

ArticleYear
Efficacy and safety of Fenfluramine hydrochloride for the treatment of seizures in Dravet syndrome: A real-world study.
    Epilepsia, 2020, Volume: 61, Issue:11

    Topics: Adolescent; Adult; Anorexia; Anticonvulsants; Child; Child, Preschool; Epilepsies, Myoclonic; Female

2020

Other Studies

36 other studies available for fenfluramine and Anorexia

ArticleYear
A serotonin and melanocortin circuit mediates D-fenfluramine anorexia.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 2010, Nov-03, Volume: 30, Issue:44

    Topics: Animals; Anorexia; Fenfluramine; Male; Melanocortins; Mice; Mice, Inbred C57BL; Mice, Knockout; Neur

2010
Modulation of meal pattern in the rat by the anorexic lipid mediator oleoylethanolamide.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2003, Volume: 28, Issue:7

    Topics: Animals; Anorexia; Appetite Depressants; Behavior, Animal; Dose-Response Relationship, Drug; Eating;

2003
Relationship between anorexia and loss of serotonin uptake sites in brain of mice and rats receiving d-norfenfluramine or d-fenfluramine.
    Pharmacology, biochemistry, and behavior, 2004, Volume: 77, Issue:3

    Topics: Animals; Anorexia; Brain; Fenfluramine; Mice; Mice, Inbred ICR; Norfenfluramine; Rats; Rats, Sprague

2004
Fenfluramine treatment in female rats accelerates the weight loss associated with activity-based anorexia.
    Pharmacology, biochemistry, and behavior, 2005, Volume: 80, Issue:2

    Topics: Animals; Anorexia; Eating; Female; Fenfluramine; Motor Activity; Rats; Rats, Long-Evans; Weight Loss

2005
The anorectic effect of fenfluramine is increased by estradiol treatment in ovariectomized rats.
    Physiology & behavior, 2005, Oct-15, Volume: 86, Issue:3

    Topics: Animals; Anorexia; Drug Interactions; Eating; Estradiol; Female; Fenfluramine; Motor Activity; Ovari

2005
Medial parabrachial nucleus neurons modulate d-fenfluramine-induced anorexia through 5HT2C receptors.
    Brain research, 2006, Jan-05, Volume: 1067, Issue:1

    Topics: Anorexia; Appetite; Energy Intake; Fenfluramine; Ibotenic Acid; Neurons; Piperazines; Pons; Receptor

2006
The appetite suppressant d-fenfluramine reduces water intake, but not food intake, in activity-based anorexia.
    Journal of molecular endocrinology, 2006, Volume: 36, Issue:1

    Topics: Animals; Anorexia; Appetite Depressants; Drinking Behavior; Energy Intake; Female; Fenfluramine; In

2006
Anorexia and brain serotonin: development of tolerance to the effects of fenfluramine and quipazine in rats with serotonin-depleting lesions.
    Pharmacology, biochemistry, and behavior, 1984, Volume: 20, Issue:5

    Topics: 5-Hydroxytryptophan; 5,7-Dihydroxytryptamine; Animals; Anorexia; Biogenic Amines; Brain Chemistry; D

1984
Further studies on the mechanism of serotonin-dependent anorexia in rats.
    Psychopharmacology, 1980, Volume: 68, Issue:1

    Topics: Animals; Anorexia; Brain; Feeding and Eating Disorders; Feeding Behavior; Female; Fenfluramine; Huma

1980
Morphine-induced anorexia in lateral hypothalamic rats.
    Psychopharmacology, 1981, Volume: 75, Issue:1

    Topics: Amphetamine; Animals; Anorexia; Dextroamphetamine; Feeding and Eating Disorders; Fenfluramine; Human

1981
Evidence that it is possible to cause anorexia by increasing release and/or directly stimulating postsynaptic serotonin receptors in the brain.
    Progress in neuro-psychopharmacology, 1980, Volume: 4, Issue:4-5

    Topics: Animals; Anorexia; Appetite Depressants; Brain; Feeding Behavior; Fenfluramine; Piperazines; Piperid

1980
Fenfluramine's appetite suppression and serotonin neurotoxicity are separable.
    European journal of pharmacology, 1995, Sep-05, Volume: 283, Issue:1-3

    Topics: Animals; Anorexia; Appetite; Body Weight; Drug Combinations; Eating; Fenfluramine; Fluoxetine; Male;

1995
Cholecystokinin- and dexfenfluramine-induced anorexia compared using devazepide and c-fos expression in the rat brain.
    Regulatory peptides, 1994, Mar-17, Volume: 50, Issue:3

    Topics: Animals; Anorexia; Benzodiazepinones; Brain; Cholecystokinin; Devazepide; Feeding Behavior; Fenflura

1994
Weight cycling alters the effects of D-fenfluramine on susceptibility to activity-based anorexia.
    The American journal of clinical nutrition, 1994, Volume: 60, Issue:4

    Topics: Animals; Anorexia; Body Weight; Eating; Fenfluramine; Male; Physical Exertion; Rats; Rats, Sprague-D

1994
Effect of activation of the serotoninergic system during prolonged starvation on subsequent caloric intake and macronutrient selection in the Zucker rat.
    Appetite, 1993, Volume: 20, Issue:2

    Topics: Animals; Anorexia; Dietary Carbohydrates; Energy Intake; Fenfluramine; Fluoxetine; Food Preferences;

1993
Behavioural evidence that d-fenfluramine-induced anorexia in the rat is not mediated by the 5-HT1A receptor subtype.
    Psychopharmacology, 1996, Volume: 125, Issue:2

    Topics: 8-Hydroxy-2-(di-n-propylamino)tetralin; Animals; Anorexia; Appetite Depressants; Appetitive Behavior

1996
Contribution of caudal brainstem to d-fenfluramine anorexia.
    Psychopharmacology, 1997, Volume: 130, Issue:4

    Topics: Animals; Anorexia; Appetite Depressants; Brain Stem; Decerebrate State; Fenfluramine; Male; Rats; Ra

1997
Selective serotonin reuptake inhibitors dissociate fenfluramine's anorectic and neurotoxic effects: importance of dose, species and drug.
    The Journal of pharmacology and experimental therapeutics, 1997, Volume: 281, Issue:3

    Topics: Animals; Anorexia; Brain; Fenfluramine; Male; Mice; Neurotoxins; Rats; Rats, Sprague-Dawley; Selecti

1997
Pharmacological evaluation of IQM-95,333, a highly selective CCKA receptor antagonist with anxiolytic-like activity in animal models.
    British journal of pharmacology, 1997, Volume: 121, Issue:4

    Topics: Amylases; Animals; Anorexia; Anti-Anxiety Agents; Benzodiazepinones; Carbamates; Cholecystokinin; De

1997
The effect of N-methylation on fenfluramine's neurotoxic and pharmacologic actions.
    Brain research, 1997, Jul-25, Volume: 763, Issue:2

    Topics: Animals; Anorexia; Appetite Depressants; Behavior, Animal; Cerebral Cortex; Corpus Striatum; Dose-Re

1997
Absence of fenfluramine-induced anorexia and reduced c-Fos induction in the hypothalamus and central amygdaloid complex of serotonin 1B receptor knock-out mice.
    The Journal of neuroscience : the official journal of the Society for Neuroscience, 1998, Jul-15, Volume: 18, Issue:14

    Topics: Amygdala; Animals; Anorexia; Appetite Depressants; Body Weight; Drug Evaluation, Preclinical; Feedin

1998
Reversal of fenfluramine and fluoxetine anorexia by 8-OH-DPAT is attenuated following raphe injection of 5,7-dihydroxytryptamine.
    Brain research, 1998, Jul-27, Volume: 800, Issue:1

    Topics: 5,7-Dihydroxytryptamine; 8-Hydroxy-2-(di-n-propylamino)tetralin; Animals; Anorexia; Brain; Corpus St

1998
Anorectic efficacy of the fenfluramine/phentermine combination in rats: additivity or synergy?
    European journal of pharmacology, 1999, Jun-04, Volume: 373, Issue:2-3

    Topics: Animals; Anorexia; Appetite Depressants; Dexfenfluramine; Dose-Response Relationship, Drug; Drug Com

1999
Does increased endogenous CCK interact with serotonin to reduce food intake in rats?
    Peptides, 2000, Volume: 21, Issue:12

    Topics: Animals; Anorexia; Body Weight; Cholecystokinin; Dose-Response Relationship, Drug; Drug Interactions

2000
Medial versus lateral parabrachial nucleus lesions in the rat: effects on cholecystokinin- and D-fenfluramine-induced anorexia.
    Brain research, 2001, Mar-16, Volume: 894, Issue:2

    Topics: Animals; Anorexia; Cholecystokinin; Eating; Excitatory Amino Acid Agonists; Feedback; Fenfluramine;

2001
Inhibition of drug-induced anorexia in rats by methysergide.
    The Journal of pharmacy and pharmacology, 1975, Volume: 27, Issue:12

    Topics: Animals; Anorexia; Appetite; Brain Chemistry; Eating; Fenfluramine; Iproniazid; Male; Mazindol; Meth

1975
Failure of depletion of rat brain 5-hydroxytryptamine to alter fenfluramine-induced anorexia.
    The Journal of pharmacy and pharmacology, 1975, Volume: 27, Issue:12

    Topics: 5,6-Dihydroxytryptamine; Animals; Anorexia; Appetite; Brain; Depression, Chemical; Dopamine; Fenclon

1975
Stress reverse the anorexia induced by amphetamine and methylphenidate but not fenfluramine.
    Brain research, 1978, Mar-31, Volume: 143, Issue:3

    Topics: Animals; Anorexia; Dextroamphetamine; Dose-Response Relationship, Drug; Feeding and Eating Disorders

1978
[Is fenfluramine a suitable therapeutic principle in obese aged diabetics?].
    Fortschritte der Medizin, 1979, Jan-25, Volume: 97, Issue:4

    Topics: Adult; Aged; Aging; Animals; Anorexia; Diabetes Complications; Fenfluramine; Humans; Lactates; Male;

1979
N-methyl-D-aspartate lesions of the lateral hypothalamus do not reduce amphetamine or fenfluramine anorexia but enhance the acquisition of eating in response to tail pinch in the rat.
    Psychopharmacology, 1992, Volume: 109, Issue:3

    Topics: Amphetamine; Analysis of Variance; Animals; Anorexia; Feeding Behavior; Fenfluramine; Hypothalamic A

1992
Cholecystokinin-induced anorexia depends on serotoninergic function.
    The American journal of physiology, 1989, Volume: 256, Issue:5 Pt 2

    Topics: Amidines; Animals; Anorexia; Cholecystokinin; Dose-Response Relationship, Drug; Eating; Feeding and

1989
Dissociation of the anorectic actions of 5-HTP and fenfluramine.
    Psychopharmacology, 1986, Volume: 89, Issue:2

    Topics: Amidines; Animals; Anorexia; Appetite Depressants; Eating; Fenfluramine; Male; Rats; Receptors, Sero

1986
Effects of "anorexia" on appetitive and consummatory behavior.
    Behavioral neuroscience, 1988, Volume: 102, Issue:2

    Topics: Amphetamine; Animals; Anorexia; Appetite; Feeding and Eating Disorders; Feeding Behavior; Fenflurami

1988
Differential effect of d-fenfluramine and metergoline on food intake in human subjects.
    Appetite, 1988, Volume: 11, Issue:3

    Topics: Adolescent; Adult; Anorexia; Appetite; Eating; Ergolines; Fenfluramine; Humans; Male; Metergoline; S

1988
Ketanserin antagonises the anorectic effect of DL-fenfluramine in the rat.
    European journal of pharmacology, 1988, Jan-12, Volume: 145, Issue:2

    Topics: Animals; Anorexia; Fenfluramine; Ketanserin; Male; Prazosin; Rats; Receptors, Adrenergic; Receptors,

1988
Involvement of endogenous opioid peptides in fenfluramine anorexia.
    Pharmacology, biochemistry, and behavior, 1986, Volume: 25, Issue:5

    Topics: Animals; Anorexia; Body Weight; Duodenum; Endorphins; Feeding and Eating Disorders; Feeding Behavior

1986