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fenfluramine and Bipolar Disorder

fenfluramine has been researched along with Bipolar Disorder in 23 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 It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Bipolar Disorder: A major affective disorder marked by severe mood swings (manic or major depressive episodes) and a tendency to remission and recurrence.

Research Excerpts

ExcerptRelevanceReference
"Prolactin (PRL) and cortisol responses to oral administration of d-1 fenfluramine hydrochloride (60 mg) and placebo were examined in patients with endogenous major depressive disorder on three separate occasions: prior to treatment with clomipramine (CMI), after 4 weeks of CMI administration (175-250) mg/day), and 3 weeks after addition of lithium (Li) carbonate (serum level 0."5.07Effect of clomipramine and lithium on fenfluramine-induced hormone release in major depression. ( Gropp, C; Lerer, B; Newman, M; Shapira, B; Yagmur, MJ, 1992)
" The apparently complex influence of weight loss on prolactin response to serotonergic challenge remains to be clarified as well as the role played by the bioavailability of the challenge drug and its metabolite."2.67Hormone responses to fenfluramine and placebo challenge in endogenous depression. ( Cooper, TB; Gillon, D; Kindler, S; Lerer, B; Lichtenberg, P; Newman, ME; Shapira, B, 1992)
"Fenfluramine 40-120 mg/day was then added to the ongoing desipramine in a placebo substitution design."2.67Fenfluramine augmentation in tricyclic-refractory depression. ( Charney, DS; Delgado, PL; Heninger, GR; Price, LH, 1990)
"d-Fenfluramine (30 mg p."1.29d-fenfluramine-induced prolactin responses in mania: evidence for serotonergic subsensitivity. ( Dinan, TG; O'Keane, V; Thakore, JH, 1996)
" During the last decade, animal data have provided considerable evidence that chronic administration of lithium within a "therapeutic range" induces 5-HT agonistic effects in the brain."1.27Lithium long-term treatment--does it act via serotonin? ( Müller-Oerlinghausen, B, 1985)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-19907 (30.43)18.7374
1990's12 (52.17)18.2507
2000's3 (13.04)29.6817
2010's1 (4.35)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Sublette, ME1
Milak, MS1
Galfalvy, HC1
Oquendo, MA2
Malone, KM3
Mann, JJ3
Kegeles, LS1
Slifstein, M1
Ellis, SP1
Xanthopoulos, E1
Keilp, JG1
Campbell, C1
Oquendo, M1
Van Heertum, RL1
Sher, L1
Li, S1
Ellis, S1
Brodsky, BS1
Cooper, TB2
Silverstone, T2
Mühlbauer, HD2
Yatham, LN1
Thakore, JH1
O'Keane, V1
Dinan, TG1
Raison, CL1
Klein, HM1
Bowden, CL1
Dickson, J1
Bagri, S1
Reddy, G1
Zimmer, JE1
Gregory, RJ1
Knott, VJ1
Howson, AL1
Perugini, M1
Ravindran, AV1
Young, SN1
Sarchiapone, M1
Camardese, G1
Roy, A1
Della Casa, S1
Satta, MA1
Gonzalez, B1
Berman, J1
De Risio, S1
Cookson, J1
Lichtenberg, P2
Shapira, B3
Gillon, D1
Kindler, S1
Newman, ME1
Lerer, B4
Yagmur, MJ1
Gropp, C2
Newman, M1
Blacker, M1
Calev, A1
Mitchell, P1
Smythe, G1
Price, LH1
Charney, DS1
Delgado, PL1
Heninger, GR1
Müller-Oerlinghausen, B2
Pearce, JB1

Reviews

2 reviews available for fenfluramine and Bipolar Disorder

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
Alternative therapies for bipolar disorder.
    The Journal of clinical psychiatry, 1985, Volume: 46, Issue:8

    Topics: Ascorbic Acid; Bipolar Disorder; Bupropion; Carbamazepine; Choline; Clonazepam; Clonidine; Clorgylin

1985

Trials

9 trials available for fenfluramine and Bipolar Disorder

ArticleYear
Regional brain glucose uptake distinguishes suicide attempters from non-attempters in major depression.
    Archives of suicide research : official journal of the International Academy for Suicide Research, 2013, Volume: 17, Issue:4

    Topics: Adult; Bipolar Disorder; Brain; Case-Control Studies; Caudate Nucleus; Depressive Disorder, Major; F

2013
Response of cortical metabolic deficits to serotonergic challenge in familial mood disorders.
    The American journal of psychiatry, 2003, Volume: 160, Issue:1

    Topics: Adult; Affect; Bipolar Disorder; Blood Glucose; Brain Mapping; Depressive Disorder, Major; Energy Me

2003
Prolactin response to fenfluramine administration in patients with unipolar and bipolar depression and healthy controls.
    Psychoneuroendocrinology, 2003, Volume: 28, Issue:4

    Topics: Adult; Age Distribution; Bipolar Disorder; Depressive Disorder, Major; Disease Susceptibility; Femal

2003
The effect of acute tryptophan depletion and fenfluramine on quantitative EEG and mood in healthy male subjects.
    Biological psychiatry, 1999, Jul-15, Volume: 46, Issue:2

    Topics: Adolescent; Adult; Affect; Amino Acids; Bipolar Disorder; Double-Blind Method; Electroencephalograph

1999
Hormone responses to fenfluramine and placebo challenge in endogenous depression.
    Psychiatry research, 1992, Volume: 43, Issue:2

    Topics: Adult; Affective Disorders, Psychotic; Aged; Bipolar Disorder; Depressive Disorder; Double-Blind Met

1992
Effect of clomipramine and lithium on fenfluramine-induced hormone release in major depression.
    Biological psychiatry, 1992, May-15, Volume: 31, Issue:10

    Topics: Adult; Bipolar Disorder; Clomipramine; Depressive Disorder; Double-Blind Method; Drug Therapy, Combi

1992
Effect of fenfluramine on mood: a double-blind placebo-controlled trial.
    Biological psychiatry, 1992, Feb-15, Volume: 31, Issue:4

    Topics: Adult; Affect; Arousal; Bipolar Disorder; Depressive Disorder; Double-Blind Method; Female; Fenflura

1992
Fenfluramine augmentation in tricyclic-refractory depression.
    Journal of clinical psychopharmacology, 1990, Volume: 10, Issue:5

    Topics: Adult; Aged; Bipolar Disorder; Depressive Disorder; Desipramine; Drug Therapy, Combination; Female;

1990
Fenfluramine in mania.
    Lancet (London, England), 1973, Feb-24, Volume: 1, Issue:7800

    Topics: Bipolar Disorder; Clinical Trials as Topic; Fenfluramine; Humans; Placebos

1973

Other Studies

12 other studies available for fenfluramine and Bipolar Disorder

ArticleYear
The influence of fenfluramine stimulation on prolactin plasma levels in lithium long-term-treated manic-depressive patients and healthy subjects.
    Pharmacopsychiatry, 1984, Volume: 17, Issue:6

    Topics: Adult; Bipolar Disorder; Female; Fenfluramine; Humans; Lithium; Male; Prolactin; Sex Factors

1984
Prolactin and cortisol responses to fenfluramine challenge in mania.
    Biological psychiatry, 1996, Feb-15, Volume: 39, Issue:4

    Topics: Adult; Arousal; Bipolar Disorder; Brain; Female; Fenfluramine; Humans; Hydrocortisone; Male; Middle

1996
d-fenfluramine-induced prolactin responses in mania: evidence for serotonergic subsensitivity.
    The American journal of psychiatry, 1996, Volume: 153, Issue:11

    Topics: Adult; Bipolar Disorder; Female; Fenfluramine; Hospitalization; Humans; Hydrocortisone; Male; Middle

1996
Psychotic mania associated with fenfluramine and phentermine use.
    The American journal of psychiatry, 1997, Volume: 154, Issue:5

    Topics: 1-Naphthylamine; Bipolar Disorder; Depressive Disorder; Female; Fenfluramine; Humans; Middle Aged; O

1997
Mania from dexfenfluramine.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:12

    Topics: Anti-Obesity Agents; Bipolar Disorder; Female; Fenfluramine; Humans; Middle Aged; Weight Gain

1997
Delirium with manic symptoms induced by diet pills.
    The Journal of clinical psychiatry, 1998, Volume: 59, Issue:2

    Topics: Adolescent; Bipolar Disorder; Delirium; Drug Therapy, Combination; Female; Fenfluramine; Humans; Mid

1998
Bipolar depression associated with fenfluramine and phentermine.
    The Journal of clinical psychiatry, 1998, Volume: 59, Issue:7

    Topics: Adult; Appetite Depressants; Bipolar Disorder; Drug Therapy, Combination; Female; Fenfluramine; Huma

1998
Cholesterol and serotonin indices in depressed and suicidal patients.
    Journal of affective disorders, 2001, Volume: 62, Issue:3

    Topics: Adult; Analysis of Variance; Bipolar Disorder; Case-Control Studies; Cholesterol; Depressive Disorde

2001
5-Hydroxytryptamine and dopamine pathways in mania: a pilot study of fenfluramine and pimozide.
    British journal of clinical pharmacology, 1976, Volume: 3, Issue:5

    Topics: Adult; Aged; Bipolar Disorder; Dopamine; Fenfluramine; Humans; Middle Aged; Pilot Projects; Pimozide

1976
Hormonal responses to fenfluramine in depressed and control subjects.
    Journal of affective disorders, 1990, Volume: 19, Issue:1

    Topics: Adult; Bipolar Disorder; Depressive Disorder; Diazepam; Female; Fenfluramine; Humans; Hydrocortisone

1990
Fenfluramine stimulation of serum cortisol in patients with major affective disorders and healthy controls: further evidence for a central serotonergic action of lithium in man.
    Journal of neural transmission, 1985, Volume: 61, Issue:1-2

    Topics: Adult; Bipolar Disorder; Blood Glucose; Depressive Disorder; Female; Fenfluramine; Humans; Hydrocort

1985
Lithium long-term treatment--does it act via serotonin?
    Pharmacopsychiatry, 1985, Volume: 18, Issue:2

    Topics: Animals; Bipolar Disorder; Brain; Fenfluramine; Humans; Hydrocortisone; Lithium; Long-Term Care; Pro

1985