Page last updated: 2024-10-27

fluoxetine and Borderline Personality Disorder

fluoxetine has been researched along with Borderline Personality Disorder in 20 studies

Fluoxetine: The first highly specific serotonin uptake inhibitor. It is used as an antidepressant and often has a more acceptable side-effects profile than traditional antidepressants.
fluoxetine : A racemate comprising equimolar amounts of (R)- and (S)-fluoxetine. A selective serotonin reuptake inhibitor (SSRI), it is used (generally as the hydrochloride salt) for the treatment of depression (and the depressive phase of bipolar disorder), bullimia nervosa, and obsessive-compulsive disorder.
N-methyl-3-phenyl-3-[4-(trifluoromethyl)phenoxy]propan-1-amine : An aromatic ether consisting of 4-trifluoromethylphenol in which the hydrogen of the phenolic hydroxy group is replaced by a 3-(methylamino)-1-phenylpropyl group.

Borderline Personality Disorder: A personality disorder marked by a pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts. (DSM-IV)

Research Excerpts

ExcerptRelevanceReference
"This study examines the therapeutic effect of fluoxetine, a selective serotonin reuptake inhibitor, added to dialectical behavior therapy (DBT), an empirically supported psychosocial therapy, for the treatment of borderline personality disorder."9.11Combined dialectical behavior therapy and fluoxetine in the treatment of borderline personality disorder. ( Begin, A; Costello, E; Pearlstein, T; Pistorello, J; Rosen, K; Simpson, EB; Yen, S, 2004)
"The intent of this study was to compare the efficacy and safety of fluoxetine, olanzapine, or the olanzapine-fluoxetine combination (OFC) in the treatment of women meeting criteria for borderline personality disorder (without concurrent major depressive disorder)."9.11A preliminary, randomized trial of fluoxetine, olanzapine, and the olanzapine-fluoxetine combination in women with borderline personality disorder. ( Frankenburg, FR; Parachini, EA; Zanarini, MC, 2004)
"Clinical data and uncontrolled observations have suggested that fluoxetine is helpful in some patients with borderline personality disorder."9.08Effect of fluoxetine on anger in symptomatic volunteers with borderline personality disorder. ( Albanese, M; Henke, R; Looper, J; Miyawaki, E; Salzman, C; Schatzberg, A; Schwartz, J; Wolfson, AN, 1995)
"Twenty-two patients meeting the criteria for borderline or schizotypal personality disorder or both participated in a prospective, nonblind 12-week trial of fluoxetine."9.07Fluoxetine in the treatment of borderline and schizotypal personality disorders. ( Calabrese, JR; Markovitz, PJ; Meltzer, HY; Schulz, SC, 1991)
" Twelve patients with borderline personality disorder and not suffering a major depression were treated with fluoxetine, a selective serotonin reuptake inhibitor, in an open label trial."7.67Fluoxetine in borderline personality disorder. ( Norden, MJ, 1989)
" We compare the effects of 2 combined therapies, fluoxetine and interpersonal therapy (IPT) or fluoxetine and cognitive therapy (CT), on major depression in patients with borderline personality disorder (BPD)."5.12Combined therapy of major depression with concomitant borderline personality disorder: comparison of interpersonal and cognitive psychotherapy. ( Bellino, S; Bogetto, F; Rinaldi, C; Zizza, M, 2007)
"This study examines the therapeutic effect of fluoxetine, a selective serotonin reuptake inhibitor, added to dialectical behavior therapy (DBT), an empirically supported psychosocial therapy, for the treatment of borderline personality disorder."5.11Combined dialectical behavior therapy and fluoxetine in the treatment of borderline personality disorder. ( Begin, A; Costello, E; Pearlstein, T; Pistorello, J; Rosen, K; Simpson, EB; Yen, S, 2004)
"The intent of this study was to compare the efficacy and safety of fluoxetine, olanzapine, or the olanzapine-fluoxetine combination (OFC) in the treatment of women meeting criteria for borderline personality disorder (without concurrent major depressive disorder)."5.11A preliminary, randomized trial of fluoxetine, olanzapine, and the olanzapine-fluoxetine combination in women with borderline personality disorder. ( Frankenburg, FR; Parachini, EA; Zanarini, MC, 2004)
"Clinical data and uncontrolled observations have suggested that fluoxetine is helpful in some patients with borderline personality disorder."5.08Effect of fluoxetine on anger in symptomatic volunteers with borderline personality disorder. ( Albanese, M; Henke, R; Looper, J; Miyawaki, E; Salzman, C; Schatzberg, A; Schwartz, J; Wolfson, AN, 1995)
"Twenty-two patients meeting the criteria for borderline or schizotypal personality disorder or both participated in a prospective, nonblind 12-week trial of fluoxetine."5.07Fluoxetine in the treatment of borderline and schizotypal personality disorders. ( Calabrese, JR; Markovitz, PJ; Meltzer, HY; Schulz, SC, 1991)
" Twelve patients with borderline personality disorder and not suffering a major depression were treated with fluoxetine, a selective serotonin reuptake inhibitor, in an open label trial."3.67Fluoxetine in borderline personality disorder. ( Norden, MJ, 1989)
"Risk factors such as borderline personality disorder and childhood abuse experiences were systematically assessed, and patients were genotyped for polymorphisms of GNbeta3."2.72Genetic, developmental and personality correlates of self-mutilation in depressed patients. ( Joyce, PR; Kennedy, MA; Luty, SE; McKenzie, JM; Miller, AL; Mulder, RT; Sullivan, PF, 2006)
"In this preliminary medication trial, 5 borderline personality disorder patients with severe symptoms resistant to phenelzine and neuroleptics were treated openly with fluoxetine 20 to 40 mg for 8 weeks, with weekly ratings of symptoms."1.28A preliminary trial of fluoxetine in refractory borderline patients. ( Cornelius, JR; Perel, JM; Soloff, PH; Ulrich, RF, 1991)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19901 (5.00)18.7374
1990's9 (45.00)18.2507
2000's6 (30.00)29.6817
2010's4 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Bellino, S4
Bozzatello, P2
Bogetto, F3
Fertuck, EA1
Keilp, J1
Song, I1
Morris, MC1
Wilson, ST1
Brodsky, BS1
Stanley, B1
Rittmannsberger, H1
Werl, R1
Joyce, PR2
McKenzie, JM2
Luty, SE2
Mulder, RT2
Carter, JD1
Sullivan, PF2
Cloninger, CR1
Simpson, EB1
Yen, S1
Costello, E1
Rosen, K1
Begin, A1
Pistorello, J1
Pearlstein, T1
Zanarini, MC1
Frankenburg, FR1
Parachini, EA1
Miller, AL1
Kennedy, MA1
Zizza, M2
Rinaldi, C2
Tuinier, S1
Verhoeven, WM1
Salzman, C1
Wolfson, AN1
Schatzberg, A1
Looper, J1
Henke, R1
Albanese, M1
Schwartz, J1
Miyawaki, E1
Leitner, P1
Serfling, R1
Hull, JW1
Clarkin, JF1
Alexopoulos, GS1
Markovitz, PJ2
Schulz, SC2
Calabrese, JR1
Meltzer, HY1
Cornelius, JR2
Soloff, PH2
Perel, JM2
Ulrich, RF2
Coccaro, EF1
Astill, JL1
Herbert, JL1
Schut, AG1
Norden, MJ1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Double-Blind, Placebo-Controlled Study of Brexpiprazole in the Treatment of Borderline Personality Disorder.[NCT03418675]Phase 280 participants (Actual)Interventional2018-11-26Completed
Genetics of Self-injurious Behaviour[NCT05563324]234 participants (Actual)Observational2014-05-09Completed
Influences on and Prevention of Self-harm Behaviour Among the Most At-risk Adolescents[NCT05765864]400 participants (Anticipated)Observational2023-03-23Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Hamilton Anxiety Rating Scale (HAM-A)

A clinician-administered assessment of anxiety that will be assessed at all study visits (Visit 1-Visit 8). Changes in scores from baseline to final visit will be assessed. Higher scores (up to 56) indicate higher levels of anxiety, with 0 being no symptoms of anxiety. (NCT03418675)
Timeframe: assessed at Visits 1 to 8, change in scores from Visit 1 to Visit 8 (baseline to Week 12) is reported

Interventionchange in score on a scale (Mean)
Placebo-2.41
Rexulti-4.88

Hamilton Depression Rating Scale (HAM-D)

A clinician-administered assessment of depression that will be assessed at all study visits (Visits 1-8). Higher total scores indicate higher levels of depression (up to 52), while a score of 0 would indicate no depressive symptoms. (NCT03418675)
Timeframe: Assessed at Visits 1 to 8, change in scores from Visit 1 to Visit 8 (baseline to week 12) is reported

Interventionchange in score on a scale (Mean)
Placebo-2.09
Rexulti-3.81

Barratt Impulsiveness Scale (BIS)

A self-report assessment of impulsivity that will be assessed at baseline and visit 8. The BIS is composed of 30 items describing common impulsive or non-impulsive (for reverse scored items) behaviors and preferences. Items are scored on a 4-point scale: (Rarely/Never = 1, Occasionally = 2, Often = 3, Almost Always/Always = 4). These scores are summed to produce an overall impulsivity score ranging from 30 (not impulsive) to 120 (extremely impulsive). (NCT03418675)
Timeframe: Baseline (Visit 1), Week 12 (Visit 8)

,
Interventionscore on a scale (Mean)
Visit 1Visit 8
Placebo76.5368.13
Rexulti72.2770.5

Borderline Evaluation of Severity Over Time (BEST)

A self rated scale used to measure severity and change. The first 12 items of the scale are on a scale from 1-5, with 5 meaning that the item caused extreme distress, severe difficulties in relationships, and/or kept them from getting things done. The lowest rating (1) means it caused little or no problems. Items 13-15 (positive behaviors) are rated according to frequency. Completed at every visit. (NCT03418675)
Timeframe: Assessed at Visits 1 to 8, change in scores from Visit 1 to Visit 8 (baseline to week 12) is reported

,
Interventionscore on a scale (Mean)
Visit 1Visit 8
Placebo40.9029.15
Rexulti40.5423.15

Columbia Suicide Severity Rating Scale (CSSRS)

"A self-report scale measuring suicidality. Subjects will complete the scale at all visits. Subjects are asked about suicidal thoughts. If answers are no, rater can proceed to suicidal behavior section where subject is asked about any non-suicidal self injurious behavior. If yes, subject is asked about intensity of ideations. In the event of serious threat to themselves, the subject will be escorted to the emergency room. Total score indicates severity of suicidal ideation and behavior, with lower scores representing lower levels of suicidality and higher scores representing higher levels of suicidality. A score of 0 would reflect no suicidality present, whereas a maximum score of 5 would reflect active suicidal ideation with intent to act." (NCT03418675)
Timeframe: Baseline (Visit 1), Week 12 (Visit 8)

,
Interventionscore on a scale (Mean)
Visit 1Visit 8
Placebo1.150.23
Rexulti0.730.08

MINI International Neuropsychiatric Interview

A short-structured interview that assesses comorbid psychiatric disorders according to the DSM 5 criteria. This assessment will be done during the baseline visit. (NCT03418675)
Timeframe: Baseline (Week 1)

,
InterventionParticipants (Count of Participants)
Major Depressive Episode (Current)Major Depressive Episode (Past)Manic Episode (Current)Manic Episode (Past)Hypomanic Episode (Current)Bipolar I Disorder (Current)Bipolar I Disorder (Past)Bipolar II Disorder (Current)Bipolar II Disorder (Past)Panic Disorder (Current)Panic Disorder (Lifetime)Agoraphobia (Current)Social Anxiety Disorder (Current)Obsessive Compulsive Disorder (Current)Post Traumatic Stress Disorder (Current)Alcohol Use Disorder (Past 12 months)Substance Use Disorder (Past 12 months)Any Psychotic Disorder (Current)Any Psychotic Disorder (Lifetime)Major Depressive Disorder with Psychotic Features (Current)Major Depressive Disorder with Psychotic Features (Past)Anorexia Nervosa (current)Bulimia Nervosa (Current)Binge Eating Disorder (Current)Generalized Anxiety Disorder (Current)Antisocial Personality Disorder (Lifetime)ADHD Combined Type (Current)ADHD Inattentive Type (Current)ADHD Hyperactive Type (Current)Tourette's Syndrome (Lifetime)Persistent Motor Tic Disorder (Lifetime)Provisional Vocal Tic Disorder (Lifetime)Provisional Tic Disorder (Lifetime)Specific PhobiaBody Dysmorphic Disorder (Current)
Placebo16122110000611763913110000042108201010043
Rexulti1818230000161099312880100144154411110012

Quality of Life Inventory (QOLI)

A self-report assessment of patient perceived quality of life that will be assessed at baseline and visit 8. Higher scores indicate a higher quality of life, whereas lower scores indicate a lower quality of life. Participants are asked to rate the importance of each domain on a 3-point scale ranging from 1=not important to 3=very important, and to rate how satisfied they are with that domain on a 6-point scale, ranging from -3=very dissatisfied to +3=very satisfied. In scoring, importance ratings are multiplied by satisfaction ratings to produce weighted satisfaction scores for each of the 16 domains. Weighted satisfaction scores are summed and divided by the number of domains that were rated as important or very important to produce a raw score, which is then converted to a t-score, which provides a proxy measurement for perceived quality of life. T-scores range from very low perceived quality of life (0-36) to high perceived quality of life (58-77). (NCT03418675)
Timeframe: Baseline (Week 1), Week 12 (Visit 8)

,
Interventionscore on a scale (Mean)
Visit 1Visit 8
Placebo28.8930.75
Rexulti28.7035.71

Self Report Version of Zanarini Scale

A self-report scale assessing Borderline Personality severity that will be assessed at all visits.This scale is assessing severity and change in BPD symptoms. This is a 9-item scale measuring severity of different aspects of Borderline Personality Disorder, with each item rated on a 0-4 scale, 0=no symptoms, 4=severe symptoms. Total scores range from 0-36. (NCT03418675)
Timeframe: Baseline (Visit 1), Week 1 (Visit 2), Week 2 (Visit 3), Week 4 (Visit 4), Week 6 (Visit 5), Week 8 (Visit 6), Week 10 (Visit 7), Week 12 (Visit 8)

,
Interventionscore on a scale (Mean)
Visit 1Visit 2Visit 3Visit 4Visit 5Visit 6Visit 7Visit 8
Placebo18.212.810.710.79.79.68.79.3
Rexulti17.610.97.98.07.06.66.05.8

Sheehan Disability Scale (SDS)

Subjects will complete the SDS at all visits. The change in scores from baseline to study completion will be assessed. The scale itself assesses the level of disability from borderline personality disorder (or target disorder) with higher scores indicating a more debilitating disorder. Scores range from 0-30. (NCT03418675)
Timeframe: Baseline (Visit 1), Week 1 (Visit 2), Week 2 (Visit 3), Week 4 (Visit 4), Week 6 (Visit 5), Week 8 (Visit 6), Week 10 (Visit 7), Week 12 (Visit 8)

,
Interventionscore on a scale (Mean)
Visit 1Visit 2Visit 3Visit 4Visit 5Visit 6Visit 7Visit 8
Placebo17.313.311.512.411.711.212.012.7
Rexulti15.810.77.87.87.07.96.97.7

Symptom Checklist-90 Revised

An instrument that helps evaluate a broad range of psychological problems and symptoms of Borderline Personality Disorder psychopathology. This will be assessed at baseline and visit 8.The 115 items are rated by using a 5-step Likert scale (0=not at all, 4=very strong) and provide a global picture of borderline psychopathology. Global scores of borderline psychopathology are calculated by summing 12 items and range from 0-48. Higher scores indicate more severe symptoms of Borderline Personality Disorder. (NCT03418675)
Timeframe: Baseline, Visit 8 (Week 12)

,
Interventionscore on a scale (Mean)
Visit 1Visit 8
Placebo26.1720.25
Rexulti25.4214.21

Zanarini Rating Scale for Borderline Personality Disorder

A clinician-administered scale assessing Borderline Personality Scale severity at all study visits. Scores range from 0-36. Higher scores represent worse Borderline Personality Disorder severity, and lower scores represent milder Borderline Personality Disorder severity. (NCT03418675)
Timeframe: Baseline (Visit 1), Week 1 (Visit 2), Week 2 (Visit 3), Week 4 (Visit 4), Week 6 (Visit 5), Week 8 (Visit 6), Week 10 (Visit 7), Week 12 (Visit 8)

,
Interventionscore on a scale (Mean)
Visit 1Visit 2Visit 3Visit 4Visit 5Visit 6Visit 7Visit 8
Placebo14.97.64.764.25.758.4
Rexulti14.96.75.34.44.54.943.1

Reviews

2 reviews available for fluoxetine and Borderline Personality Disorder

ArticleYear
Dimensional classification and behavioral pharmacology of personality disorders; a review and hypothesis.
    European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 1995, Volume: 5, Issue:2

    Topics: Adaptation, Psychological; Antipsychotic Agents; Borderline Personality Disorder; Clinical Trials as

1995
[The value of psychopharmacotherapy in the treatment of borderline personality disorder].
    Psychiatrische Praxis, 1993, Volume: 20, Issue:6

    Topics: Anti-Anxiety Agents; Antidepressive Agents; Antipsychotic Agents; Benzodiazepines; Borderline Person

1993

Trials

10 trials available for fluoxetine and Borderline Personality Disorder

ArticleYear
Combined treatment of borderline personality disorder with interpersonal psychotherapy and pharmacotherapy: predictors of response.
    Psychiatry research, 2015, Mar-30, Volume: 226, Issue:1

    Topics: Adult; Antidepressive Agents, Second-Generation; Borderline Personality Disorder; Female; Fluoxetine

2015
Combined therapy with interpersonal psychotherapy adapted for borderline personality disorder: A two-years follow-up.
    Psychiatry research, 2016, 06-30, Volume: 240

    Topics: Adolescent; Adult; Antidepressive Agents, Second-Generation; Anxiety; Borderline Personality Disorde

2016
Higher executive control and visual memory performance predict treatment completion in borderline personality disorder.
    Psychotherapy and psychosomatics, 2012, Volume: 81, Issue:1

    Topics: Adult; Ambulatory Care; Attention; Behavior Therapy; Borderline Personality Disorder; Depression; Ex

2012
Combined dialectical behavior therapy and fluoxetine in the treatment of borderline personality disorder.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:3

    Topics: Adult; Behavior Therapy; Borderline Personality Disorder; Combined Modality Therapy; Diagnostic and

2004
A preliminary, randomized trial of fluoxetine, olanzapine, and the olanzapine-fluoxetine combination in women with borderline personality disorder.
    The Journal of clinical psychiatry, 2004, Volume: 65, Issue:7

    Topics: Adolescent; Adult; Aggression; Antipsychotic Agents; Benzodiazepines; Borderline Personality Disorde

2004
Genetic, developmental and personality correlates of self-mutilation in depressed patients.
    The Australian and New Zealand journal of psychiatry, 2006, Volume: 40, Issue:3

    Topics: Adolescent; Adult; Alleles; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricycl

2006
Genetic, developmental and personality correlates of self-mutilation in depressed patients.
    The Australian and New Zealand journal of psychiatry, 2006, Volume: 40, Issue:3

    Topics: Adolescent; Adult; Alleles; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricycl

2006
Genetic, developmental and personality correlates of self-mutilation in depressed patients.
    The Australian and New Zealand journal of psychiatry, 2006, Volume: 40, Issue:3

    Topics: Adolescent; Adult; Alleles; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricycl

2006
Genetic, developmental and personality correlates of self-mutilation in depressed patients.
    The Australian and New Zealand journal of psychiatry, 2006, Volume: 40, Issue:3

    Topics: Adolescent; Adult; Alleles; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricycl

2006
Combined treatment of major depression in patients with borderline personality disorder: a comparison with pharmacotherapy.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2006, Volume: 51, Issue:7

    Topics: Adult; Antidepressive Agents, Second-Generation; Borderline Personality Disorder; Combined Modality

2006
Combined therapy of major depression with concomitant borderline personality disorder: comparison of interpersonal and cognitive psychotherapy.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2007, Volume: 52, Issue:11

    Topics: Anxiety Disorders; Borderline Personality Disorder; Cognitive Behavioral Therapy; Combined Modality

2007
Effect of fluoxetine on anger in symptomatic volunteers with borderline personality disorder.
    Journal of clinical psychopharmacology, 1995, Volume: 15, Issue:1

    Topics: Adult; Anger; Borderline Personality Disorder; Double-Blind Method; Female; Fluoxetine; Humans; Male

1995
Fluoxetine in the treatment of borderline and schizotypal personality disorders.
    The American journal of psychiatry, 1991, Volume: 148, Issue:8

    Topics: Adult; Borderline Personality Disorder; Chronic Disease; Drug Administration Schedule; Female; Fluox

1991

Other Studies

8 other studies available for fluoxetine and Borderline Personality Disorder

ArticleYear
Does aripiprazole protect from serotonin syndrome?
    Psychiatria Danubina, 2012, Volume: 24, Issue:1

    Topics: Adult; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Aripiprazole; Borderline Pers

2012
Temperament, childhood environment and psychopathology as risk factors for avoidant and borderline personality disorders.
    The Australian and New Zealand journal of psychiatry, 2003, Volume: 37, Issue:6

    Topics: Adolescent; Adult; Borderline Personality Disorder; Child; Demography; Depressive Disorder, Major; F

2003
Time series analysis of intervention effects. Fluoxetine therapy as a case illustration.
    The Journal of nervous and mental disease, 1993, Volume: 181, Issue:1

    Topics: Adult; Borderline Personality Disorder; Female; Fluoxetine; Hospitalization; Humans; Models, Theoret

1993
Drug treatment of personality disorders.
    The British journal of psychiatry : the journal of mental science, 1993, Volume: 162

    Topics: Borderline Personality Disorder; Fluoxetine; Humans; Psychotropic Drugs; Selective Serotonin Reuptak

1993
A preliminary trial of fluoxetine in refractory borderline patients.
    Journal of clinical psychopharmacology, 1991, Volume: 11, Issue:2

    Topics: Adult; Borderline Personality Disorder; Child; Depressive Disorder; Dose-Response Relationship, Drug

1991
Fluoxetine treatment of impulsive aggression in DSM-III-R personality disorder patients.
    Journal of clinical psychopharmacology, 1990, Volume: 10, Issue:5

    Topics: Adult; Aggression; Antisocial Personality Disorder; Borderline Personality Disorder; Disruptive, Imp

1990
Fluoxetine trial in borderline personality disorder.
    Psychopharmacology bulletin, 1990, Volume: 26, Issue:1

    Topics: Adult; Borderline Personality Disorder; Female; Fluoxetine; Humans; Male; Psychiatric Status Rating

1990
Fluoxetine in borderline personality disorder.
    Progress in neuro-psychopharmacology & biological psychiatry, 1989, Volume: 13, Issue:6

    Topics: Adult; Borderline Personality Disorder; Female; Fluoxetine; Humans; Male; Middle Aged; Psychiatric S

1989