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fenfluramine and Hypertension

fenfluramine has been researched along with Hypertension in 30 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 It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.

Hypertension: Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.

Research Excerpts

ExcerptRelevanceReference
"The effect of dexfenfluramine (dF) on body weight, blood pressure and noradrenergic activity were studied in 30 obese hypertensive patients randomly divided into two groups and treated for 3 months either with dF (30 mg daily; 16 subjects) or placebo (Pl; 14 subjects)."9.07Effect of dexfenfluramine treatment on body weight, blood pressure and noradrenergic activity in obese hypertensive patients. ( Detry, JM; Kolanowski, J; Vanbutsele, R; Younis, LT, 1992)
"Dexfenfluramine and fenfluramine greatly increase the risk of developing pulmonary hypertension (PHT)."7.70Nitric oxide deficiency in fenfluramine- and dexfenfluramine-induced pulmonary hypertension. ( Archer, SL; Dall'ava-Santucci, J; Dinh-Xuan, AT; Djaballah, K; Fartoukh, M; Humbert, M; Mercier, JC; Simonneau, G; Weir, KE, 1998)
"Fenfluramine is a recently introduced anorexigenic drug for the treatment of obesity."7.65Fenfluramine-associated hypertension. ( Mabadeje, AF, 1975)
" Adverse events were usually moderate and transient, occurring at the beginning of treatment."6.68[A multicenter open study of dexfenfluramine in Italy. The efficacy and safety of using dexfenfluramine in treating patients with simple or complicated obesity. The DIMOS Group]. ( Enzi, G, 1997)
"The effect of dexfenfluramine (dF) on body weight, blood pressure and noradrenergic activity were studied in 30 obese hypertensive patients randomly divided into two groups and treated for 3 months either with dF (30 mg daily; 16 subjects) or placebo (Pl; 14 subjects)."5.07Effect of dexfenfluramine treatment on body weight, blood pressure and noradrenergic activity in obese hypertensive patients. ( Detry, JM; Kolanowski, J; Vanbutsele, R; Younis, LT, 1992)
" Several people attended a Chinese herbalist for weight loss advice and were sold 'herbal' preparations that contained fenfluramine, a drug which was withdrawn from sale in the West in 1997 after its use was linked to primary pulmonary hypertension and valvular heart disease."3.71Risks associated with herbal slimming remedies. ( Corns, C; Metcalfe, K, 2002)
"Nineteen participants, all of whom had hypertension, were being treated with fenfluramine or dexfenfluramine (5 on these agents alone, 14 also with phentermine)."3.71Appetite suppressants and valvular heart disease in a population-based sample: the HyperGEN study. ( Arnett, DK; Bella, JN; de Simone, G; Devereux, RB; Hopkins, PN; Kitzman, DW; Liu, JE; Morgan, D; Oberman, A; Palmieri, V; Roman, MJ, 2002)
"Dexfenfluramine and fenfluramine greatly increase the risk of developing pulmonary hypertension (PHT)."3.70Nitric oxide deficiency in fenfluramine- and dexfenfluramine-induced pulmonary hypertension. ( Archer, SL; Dall'ava-Santucci, J; Dinh-Xuan, AT; Djaballah, K; Fartoukh, M; Humbert, M; Mercier, JC; Simonneau, G; Weir, KE, 1998)
"To evaluate, in compliant patients, the pharmaceutical costs of treating obesity with fenfluramine/mazindol, fenfluramine/phentermine, caffeine/ephedrine, or mazindol relative to the pharmaceutical costs of treating obesity-related comorbid conditions and reducing cardiovascular risk."3.70Pharmaceutical cost savings of treating obesity with weight loss medications. ( Bray, GA; Greenway, FL; Rood, JC; Ryan, DH; Smith, SR; Tucker, EW, 1999)
"Hydrochlorothiazide, a drug which is often initially prescribed for mild to moderate hypertension, failed to lower blood pressures in 9 of 43 patients but concomitantly elevated plasma norepinephrine (NE) levels in all patients with hypertension."3.66Fenfluramine potentiation of antihypertensive effects of thiazides. ( Coleman, MD; Kopin, IJ; Lake, CR; Ziegler, MG, 1980)
"Fenfluramine is a recently introduced anorexigenic drug for the treatment of obesity."3.65Fenfluramine-associated hypertension. ( Mabadeje, AF, 1975)
"Benfluorex treatment lowered diastolic and systolic blood pressures and improved glucose tolerance in both age groups."2.68Effects of insulin reduction with benfluorex on serum dehydroepiandrosterone (DHEA), DHEA sulfate, and blood pressure in hypertensive middle-aged and elderly men. ( Beer, NA; Beer, RM; Colombo, C; Jakubowicz, DJ; Nestler, JE, 1995)
" Adverse events were usually moderate and transient, occurring at the beginning of treatment."2.68[A multicenter open study of dexfenfluramine in Italy. The efficacy and safety of using dexfenfluramine in treating patients with simple or complicated obesity. The DIMOS Group]. ( Enzi, G, 1997)
"The syndrome is characterized by insulin insensitivity and an increased control of metabolism by cortisol."2.38Neuroendocrine regulation and obesity. ( Brindley, DN, 1992)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-199012 (40.00)18.7374
1990's12 (40.00)18.2507
2000's4 (13.33)29.6817
2010's2 (6.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Nau, JY2
Corns, C1
Metcalfe, K1
Stocker, SD1
Muldoon, MF1
Sved, AF1
Etienne, N1
Schaerlinger, B1
Jaffré, F1
Maroteaux, L1
Fuller, RW1
Yen, TT1
Stamm, NB1
Lake, CR1
Ziegler, MG1
Coleman, MD1
Kopin, IJ1
Genné, D1
De Torrenté, A1
Humair, L1
Nestler, JE1
Beer, NA1
Jakubowicz, DJ1
Colombo, C1
Beer, RM1
Berlin, I1
Puech, AJ1
Monego, ET1
Peixoto, Mdo R1
Jardim, PC1
Sousa, AL1
Braga, VL1
Moura, MF1
Sukkari, SR1
Enzi, G1
Archer, SL1
Djaballah, K1
Humbert, M1
Weir, KE1
Fartoukh, M1
Dall'ava-Santucci, J1
Mercier, JC1
Simonneau, G1
Dinh-Xuan, AT1
Derby, LE1
Myers, MW1
Jick, H1
Greenway, FL1
Ryan, DH1
Bray, GA1
Rood, JC1
Tucker, EW1
Smith, SR1
Palmieri, V1
Arnett, DK1
Roman, MJ1
Liu, JE1
Bella, JN1
Oberman, A1
Kitzman, DW1
Hopkins, PN1
Morgan, D1
de Simone, G1
Devereux, RB1
Von Mühlendahl, KE1
Krienke, EG1
Scott, ME1
Nelson, PG1
Mabadeje, AF2
Brindley, DN1
Rowland, NE1
Fregly, MJ1
Poortman, CM1
Li, H1
Kolanowski, J1
Younis, LT1
Vanbutsele, R1
Detry, JM1
Mroczek, WJ1
Lee, WR1
Finnerty, FA1
Hoyer, I1
Van Zwieten, PA1
Wilton, TD1
Follows, OJ1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT00005267]3,604 participants (Actual)Observational1995-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for fenfluramine and Hypertension

ArticleYear
[The 5-HT2B receptor: a main cardio-pulmonary target of serotonin].
    Journal de la Societe de biologie, 2004, Volume: 198, Issue:1

    Topics: Adult; Animals; Cardiomyopathy, Dilated; Cell Survival; Fenfluramine; Fetal Heart; Genes, Lethal; Ge

2004
Neuroendocrine regulation and obesity.
    International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1992, Volume: 16 Suppl 3

    Topics: Animals; Diabetes Complications; Endocrine Glands; Fenfluramine; Humans; Hydrocortisone; Hyperlipide

1992

Trials

8 trials available for fenfluramine and Hypertension

ArticleYear
Effects of insulin reduction with benfluorex on serum dehydroepiandrosterone (DHEA), DHEA sulfate, and blood pressure in hypertensive middle-aged and elderly men.
    The Journal of clinical endocrinology and metabolism, 1995, Volume: 80, Issue:2

    Topics: Aged; Aging; Androgens; Blood Glucose; Blood Pressure; Dehydroepiandrosterone; Dehydroepiandrosteron

1995
[Different therapies in the treatment of obesity in hypertensive patients].
    Arquivos brasileiros de cardiologia, 1996, Volume: 66, Issue:6

    Topics: Adult; Aged; Blood Pressure; Body Mass Index; Body Weight; Diet, Fat-Restricted; Double-Blind Method

1996
[A multicenter open study of dexfenfluramine in Italy. The efficacy and safety of using dexfenfluramine in treating patients with simple or complicated obesity. The DIMOS Group].
    Terapevticheskii arkhiv, 1997, Volume: 69, Issue:5

    Topics: Adolescent; Adult; Aged; Analysis of Variance; Appetite Depressants; Diabetes Mellitus; Diabetes Mel

1997
Effect of dexfenfluramine treatment on body weight, blood pressure and noradrenergic activity in obese hypertensive patients.
    European journal of clinical pharmacology, 1992, Volume: 42, Issue:6

    Topics: Adult; Blood Pressure; Body Weight; Catecholamines; Double-Blind Method; Exercise; Female; Fenfluram

1992
Circulatory effects of fenfluramine in obese hypertensive patients.
    Current therapeutic research, clinical and experimental, 1974, Volume: 16, Issue:11

    Topics: Blood Pressure; Body Weight; Cardiac Output; Clinical Trials as Topic; Female; Fenfluramine; Heart R

1974
Fenfluramine--another appetite suppressant.
    The Medical letter on drugs and therapeutics, 1973, Apr-13, Volume: 15, Issue:8

    Topics: Central Nervous System; Clinical Trials as Topic; Fenfluramine; Humans; Hypertension; Placebos

1973
A comparative trial of fenfluramine and diethylpropion in obese, hypertensive patients.
    The British journal of clinical practice, 1971, Volume: 25, Issue:5

    Topics: Adult; Aged; Appetite Depressants; Blood Pressure; Clinical Trials as Topic; Diethylpropion; Female;

1971
Hypotensive effect of fenfluramine in the treatment of obesity.
    The Practitioner, 1971, Volume: 207, Issue:237

    Topics: Adult; Aged; Appetite Depressants; Female; Fenfluramine; Fluorine; Humans; Hypertension; Male; Middl

1971

Other Studies

20 other studies available for fenfluramine and Hypertension

ArticleYear
    Revue medicale suisse, 2016, Sep-21, Volume: 12, Issue:531

    Topics: Appetite Depressants; Blood Pressure; Fenfluramine; Genomics; Humans; Hypertension; Motion Pictures;

2016
[What were the indications for the Mediator in 1979?].
    Revue medicale suisse, 2011, Feb-09, Volume: 7, Issue:281

    Topics: Anxiety; Appetite Depressants; Diabetes Mellitus, Type 2; Fenfluramine; France; Heart Valve Diseases

2011
Risks associated with herbal slimming remedies.
    The journal of the Royal Society for the Promotion of Health, 2002, Volume: 122, Issue:4

    Topics: Abdominal Pain; Adult; Chromatography, Gas; Drug Interactions; Drugs, Chinese Herbal; Female; Fenflu

2002
Blunted fenfluramine-evoked prolactin secretion in hypertensive rats.
    Hypertension (Dallas, Tex. : 1979), 2003, Volume: 42, Issue:4

    Topics: Acute Disease; Adrenergic alpha-Agonists; Animals; Blood Pressure; Chronic Disease; Fenfluramine; Hy

2003
Lowering of blood pressure by direct- and indirect-acting serotonin agonists in spontaneously hypertensive rats.
    Clinical and experimental hypertension, 1981, Volume: 3, Issue:3

    Topics: Animals; Blood Pressure; Dose-Response Relationship, Drug; Fenfluramine; Hypertension; Male; Metergo

1981
Fenfluramine potentiation of antihypertensive effects of thiazides.
    Clinical pharmacology and therapeutics, 1980, Volume: 28, Issue:1

    Topics: Antihypertensive Agents; Blood Pressure; Body Weight; Drug Synergism; Drug Therapy, Combination; Fen

1980
[Voluntary poisoning with dexfenfluramine (Isomeride)].
    Schweizerische medizinische Wochenschrift, 1994, Dec-10, Volume: 124, Issue:49

    Topics: Adolescent; Drug Overdose; Female; Fenfluramine; Humans; Hypertension; Iatrogenic Disease; Poisoning

1994
Is it dexfenfluramine or weight loss that reduces blood pressure and noradrenergic activity in obese patients?
    European journal of clinical pharmacology, 1993, Volume: 44, Issue:6

    Topics: Blood Pressure; Body Weight; Fenfluramine; Humans; Hypertension; Norepinephrine; Obesity

1993
Weighing benefits and risks of drug to treat obesity.
    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1997, Mar-15, Volume: 156, Issue:6

    Topics: Appetite Depressants; Conflict of Interest; Fenfluramine; Humans; Hypertension; Obesity; Risk Assess

1997
Nitric oxide deficiency in fenfluramine- and dexfenfluramine-induced pulmonary hypertension.
    American journal of respiratory and critical care medicine, 1998, Volume: 158, Issue:4

    Topics: Adult; Aged; Angina Pectoris; Appetite Depressants; Case-Control Studies; Dexfenfluramine; Disease S

1998
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
Pharmaceutical cost savings of treating obesity with weight loss medications.
    Obesity research, 1999, Volume: 7, Issue:6

    Topics: Adolescent; Adult; Appetite Depressants; Caffeine; Cardiovascular Diseases; Diabetes Mellitus; Drug

1999
Appetite suppressants and valvular heart disease in a population-based sample: the HyperGEN study.
    The American journal of medicine, 2002, Jun-15, Volume: 112, Issue:9

    Topics: Aortic Valve Insufficiency; Appetite Depressants; Dexfenfluramine; Drug Combinations; Female; Fenflu

2002
Fenfluramine poisoning.
    Clinical toxicology, 1979, Volume: 14, Issue:1

    Topics: Adolescent; Adult; Central Nervous System Diseases; Child; Child, Preschool; Female; Fenfluramine; H

1979
Fenfluramine in the treatment of hypertensive patients with refractory obesity.
    The Ulster medical journal, 1975, Volume: 44, Issue:1

    Topics: Female; Fenfluramine; Humans; Hypertension; Male; Middle Aged; Obesity; Placebos; Pregnancy

1975
Fenfluramine-associated hypertension.
    West African journal of pharmacology and drug research, 1975, Volume: 2, Issue:2

    Topics: Adult; Blood Pressure; Female; Fenfluramine; Humans; Hypertension; Male; Middle Aged; Obesity; Time

1975
Effect of chronic administration of dexfenfluramine on blood pressure in salt-sensitive rats.
    Life sciences, 1992, Volume: 51, Issue:13

    Topics: Animals; Blood Pressure; Body Weight; Dose-Response Relationship, Drug; Drug Administration Schedule

1992
The central hypotensive action of amphetamine, ephedrine, phentermine, chlorphentermine and fenfluramine.
    The Journal of pharmacy and pharmacology, 1972, Volume: 24, Issue:6

    Topics: Amphetamine; Animals; Appetite Depressants; Blood Pressure; Cats; Chlorphentermine; Depression, Chem

1972
Proceedings: Fenfluramine-induced hypertension.
    West African journal of pharmacology and drug research, 1974, Volume: 2, Issue:1

    Topics: Female; Fenfluramine; Humans; Hypertension; Male; Obesity

1974
Letter: Fenfluramine in complicated obesity.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1974, Jun-09, Volume: 48, Issue:31

    Topics: Diabetes Complications; Diabetes Mellitus; Female; Fenfluramine; Humans; Hypertension; Male; Middle

1974