Effect of clomipramine and lithium on fenfluramine-induced hormone release in major depression.

Abstract:

: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 0.5-0.9 mmol) to the treatment regimen. CMI significantly increased baseline PRL levels which were further elevated following Li supplementation. PRL response to fenfluramine (minus elevated baseline PRL levels) but not to placebo, was significantly increased by CMI administration, reflected over the 6-hr time course examined and in peak minus baseline values. Following addition of Li, the degree of enhancement was diminished although the peak minus baseline value remained significant relative to the pretreatment response. Cortisol levels were not increased by fenfluramine and were not altered by CMI or CMI + Li administration. The effect of CMI extends previous observations regarding the action of antidepressant treatment on serotenergically mediated hormone release. Methodological considerations relevant to the effect of CMI + Li are discussed.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Shapira B,Yagmur MJ,Gropp C,Newman M,Lerer B

doi

10.1016/0006-3223(92)90091-d

subject

Has Abstract

pub_date

1992-05-15 00:00:00

pages

975-83

issue

10

eissn

0006-3223

issn

1873-2402

pii

0006-3223(92)90091-D

journal_volume

31

pub_type

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