Effects of fluoxetine administration on mood response to tryptophan depletion in healthy subjects.

Abstract:

:Short-term reduction in plasma tryptophan (tryptophan depletion) produces a relapse of depressive symptoms in 60% of previously depressed patients recently recovered with serotonin reuptake inhibitor treatment. Tryptophan depletion does not consistently increase depressive symptoms in unmedicated depressed patients or in depressed patients whose symptoms are remitted with a norepinephrine reuptake inhibitor. These data suggest that serotonin reuptake inhibitor treatment itself may confer vulnerability to the development of depressive symptoms during tryptophan depletion. In order to further investigate this possibility, six healthy individuals underwent double-blind placebo-controlled tryptophan depletion before and following six weeks of treatment with fluoxetine 20 mg/day. No increased vulnerability to the mood-lowering effects of tryptophan depletion occurred as a result of fluoxetine treatment. Additionally, fluoxetine treatment itself was not associated with changes in mood or quality of life in these healthy volunteers. These data indicate that serotonin reuptake inhibitor treatment alone does not produce the depressive effects of tryptophan depletion that are observed in serotonin reuptake inhibitor-treated depressed and obsessive compulsive disorder patients.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Barr LC,Heninger GR,Goodman W,Charney DS,Price LH

doi

10.1016/S0006-3223(96)00224-7

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

949-54

issue

9

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(96)00224-7

journal_volume

41

pub_type

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