Prolactin and sodium lactate-induced panic.

Abstract:

:Sodium lactate infusions reliably induce panic attacks in panic disorder patients but not in normal controls, but the mechanism underlying this response is unknown. We studied the plasma prolactin response to infusion of 0.5 molar sodium lactate in 38 patients with panic disorder or agoraphobia with panic attacks, and 16 normal controls. As expected, baseline plasma prolactin was significantly higher in female subjects than in male subjects. However, the males who experienced lactate-induced panic had significantly elevated baseline prolactin levels compared to male nonpanickers and controls. Prolactin levels increased in all groups during lactate infusion, which may reflect osmotic effects, but were blunted in the late panickers compared to nonpanickers and controls. The elevated baseline prolactin for male panickers supports a relationship between prolactin and anticipatory anxiety. The blunted prolactin response for late panickers suggests a net diminution, rather than a sensitization, of prolactin response in panic anxiety.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Hollander E,Liebowitz MR,Cohen B,Gorman JM,Fyer AJ,Papp LA,Klein DF

doi

10.1016/0165-1781(89)90046-2

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

181-91

issue

2

eissn

0165-1781

issn

1872-7123

pii

0165-1781(89)90046-2

journal_volume

28

pub_type

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