Usefulness of serotoninergic challenge with oral citalopram.

Braz J Psychiatry

Psychiatry Institute, Universidade Federal do Rio de Janeiro, Rua Paulo Barretto 91, 22280-010 Rio de Janeiro, RJ, Brazil.

Published: September 2006

Objective: Challenge tests designed to evaluate serotoninergic pathways have widely used intravenous citalopram. Oral citalopram has also been used, but unsatisfactory results were obtained with a dose of 20 mg. The objective of this study was to determine whether a higher oral dose would reproduce similar to those described for intravenous administration. To that end, we evaluated cortisol, growth hormone and prolactin levels.

Method: Eight healthy male volunteers were evaluated in a randomized crossover challenge test with 40 mg of oral citalopram or placebo.

Results: Cortisol levels increased at 2-4h after the oral citalopram intake, with a small amplitude peak occurring in two-thirds of the subjects. Levels of prolactin and growth hormone remained unchanged throughout the study.

Conclusion: The use of oral citalopram might present an alternative in serotoninergic challenge tests, but higher doses are required.

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http://dx.doi.org/10.1590/s1516-44462006000300011DOI Listing

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