Page last updated: 2024-10-27

fenfluramine and Panic Attacks

fenfluramine has been researched along with Panic Attacks 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 It was withdrawn worldwide after reports of heart valve disease and pulmonary hypertension.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
"To investigate whether the 5-HT releasing agent d-fenfluramine (dFEN) has different effects on resting and panic anxiety in panic disorder."9.09d-Fenfluramine in panic disorder: a dual role for 5-hydroxytryptamine. ( Anderson, IM; Mortimore, C, 2000)
" Prolactin and cortisol responses to d-fenfluramine were measured in 16 patients with DSM-III-R panic disorder and 14 normal controls."7.69Serotonergic function in panic disorder: endocrine responses to D-fenfluramine. ( Apostolopoulos, M; Burrows, GD; Judd, FK; Norman, TR, 1994)
"D-Fenfluramine is a medication that induces neuronal release of serotonin."5.31Increased left posterior parietal-temporal cortex activation after D-fenfluramine in women with panic disorder. ( Brown, GM; Houle, S; Kennedy, SH; Meyer, JH; Swinson, R, 2000)
"To investigate whether the 5-HT releasing agent d-fenfluramine (dFEN) has different effects on resting and panic anxiety in panic disorder."5.09d-Fenfluramine in panic disorder: a dual role for 5-hydroxytryptamine. ( Anderson, IM; Mortimore, C, 2000)
" Challenge studies have demonstrated that subjects with social anxiety disorder have a sensitivity to carbon dioxide, cholecystokinin, and caffeine somewhere between that of panic disorder patients and normal controls."4.80Brain mechanisms of social anxiety disorder. ( Bell, CJ; Malizia, AL; Nutt, DJ, 1998)
" Prolactin and cortisol responses to d-fenfluramine were measured in 16 patients with DSM-III-R panic disorder and 14 normal controls."3.69Serotonergic function in panic disorder: endocrine responses to D-fenfluramine. ( Apostolopoulos, M; Burrows, GD; Judd, FK; Norman, TR, 1994)
"Secretion curves for prolactin, cortisol, TSH, and GH from a 37-year old woman with dysthymia and panic disorder with agoraphobia were determined one day prior to (day I), and during a panic attack (day II) associated with an oral dose of 60 mg dl-fenfluramine, a drug known to increase anticipatory anxiety."3.69Hormonal response during a fenfluramine-associated panic attack. ( Gentil, V; Ramos, RT; Vieira, AH, 1997)
"The present study assessed the relation of cortisol response to anxiogenic reactivity during intravenous lactate infusion and oral fenfluramine in 12 panic disorder (PD) patients who responded positively to both challenges and in eight non-reactive control subjects."3.68Cortisol response during different anxiogenic challenges in panic disorder patients. ( Targum, SD, 1992)
"D-Fenfluramine is a medication that induces neuronal release of serotonin."1.31Increased left posterior parietal-temporal cortex activation after D-fenfluramine in women with panic disorder. ( Brown, GM; Houle, S; Kennedy, SH; Meyer, JH; Swinson, R, 2000)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's8 (66.67)18.2507
2000's2 (16.67)29.6817
2010's2 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bernik, M1
Ramos, RT2
Hetem, LAB1
Graeff, F1
Federici, LM1
Caliman, IF1
Fitz, SD1
Shekhar, A1
Johnson, PL1
Solyom, L1
Judd, FK2
Apostolopoulos, M2
Burrows, GD2
Norman, TR2
Hetem, LA1
Vieira, AH1
Gentil, V1
Stahl, SM1
Nutt, DJ1
Bell, CJ1
Malizia, AL1
Meyer, JH1
Swinson, R1
Kennedy, SH1
Houle, S1
Brown, GM1
Mortimore, C1
Anderson, IM1
Targum, SD1

Reviews

1 review available for fenfluramine and Panic Attacks

ArticleYear
Brain mechanisms of social anxiety disorder.
    The Journal of clinical psychiatry, 1998, Volume: 59 Suppl 17

    Topics: Animals; Brain; Caffeine; Carbon Dioxide; Cholecystokinin; Dopamine; Fear; Fenfluramine; Humans; Pan

1998

Trials

2 trials available for fenfluramine and Panic Attacks

ArticleYear
Effect of single doses of pindolol and d-fenfluramine on flumazenil-induced anxiety in panic disorder patients.
    Behavioural brain research, 2019, 01-14, Volume: 357-358

    Topics: Adult; Anxiety; Female; Fenfluramine; Flumazenil; GABA Modulators; Humans; Male; Middle Aged; Panic

2019
d-Fenfluramine in panic disorder: a dual role for 5-hydroxytryptamine.
    Psychopharmacology, 2000, Volume: 149, Issue:3

    Topics: Adult; Analysis of Variance; Anxiety; Carbon Dioxide; Cross-Over Studies; Double-Blind Method; Femal

2000

Other Studies

9 other studies available for fenfluramine and Panic Attacks

ArticleYear
Select panicogenic drugs and stimuli induce consistent increases in tail skin flushes and decreases in core body temperature.
    Behavioural pharmacology, 2019, Volume: 30, Issue:4

    Topics: Animals; Body Temperature; Body Temperature Regulation; Carbolines; Fenfluramine; Male; Models, Anim

2019
Controlling panic attacks with fenfluramine.
    The American journal of psychiatry, 1994, Volume: 151, Issue:4

    Topics: Adolescent; Adult; Body Mass Index; Body Weight; Bulimia; Depressive Disorder; Female; Fenfluramine;

1994
Serotonergic function in panic disorder: endocrine responses to D-fenfluramine.
    Progress in neuro-psychopharmacology & biological psychiatry, 1994, Volume: 18, Issue:2

    Topics: Adult; Female; Fenfluramine; Hormones; Humans; Hydrocortisone; Male; Panic Disorder; Prolactin; Psyc

1994
Prolactin response to dl-fenfluramine in panic disorder.
    Psychoneuroendocrinology, 1993, Volume: 18, Issue:5-6

    Topics: Administration, Oral; Adult; Female; Fenfluramine; Humans; Male; Middle Aged; Panic Disorder; Prolac

1993
Addition of d-fenfluramine to benzodiazepines produces a marked improvement in refractory panic disorder--a case report.
    Journal of clinical psychopharmacology, 1996, Volume: 16, Issue:1

    Topics: Adult; Alprazolam; Anti-Anxiety Agents; Clonazepam; Drug Resistance; Female; Fenfluramine; Humans; P

1996
Hormonal response during a fenfluramine-associated panic attack.
    Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas, 1997, Volume: 30, Issue:7

    Topics: Adult; Female; Fenfluramine; Hormones; Human Growth Hormone; Humans; Panic Disorder; Prolactin; Sero

1997
Serotonin: it's possible to have too much of a good thing.
    The Journal of clinical psychiatry, 1997, Volume: 58, Issue:12

    Topics: Bulimia; Depressive Disorder; Fenfluramine; Heart Valve Diseases; Humans; Obsessive-Compulsive Disor

1997
Increased left posterior parietal-temporal cortex activation after D-fenfluramine in women with panic disorder.
    Psychiatry research, 2000, May-15, Volume: 98, Issue:3

    Topics: Adolescent; Adult; Case-Control Studies; Cerebrovascular Circulation; Dominance, Cerebral; Female; F

2000
Cortisol response during different anxiogenic challenges in panic disorder patients.
    Psychoneuroendocrinology, 1992, Volume: 17, Issue:5

    Topics: Administration, Oral; Adult; Anxiety Disorders; Arousal; Female; Fenfluramine; Humans; Hydrocortison

1992