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Hormone Responses to Citalopram in Abstinent Alcohol Dependent Subjects
Deidre Gotjen 1 , Zsolt Szabo 1 , Shing Lee 1 , Gary Wand 1
  1 The Johns Hopkins University School of Medicine, Baltimore, Maryland.
Correspondence to  Gary S. Wand MD, Professor of Medicine and Psychiatry, The Johns Hopkins University School of Medicine, Ross Research Building, Room 863, 720 Rutland Avenue, Baltimore, MD 21205; Fax: 410–955–0841; E-mail: gwand@jhmi.edu

This work was supported by NIH grant AA111653 (ZS) and a generous gift from The Kenneth Lattman Foundation (GSW). The research was conducted on the JHH General Clinical Research Center (NIH/NCRR M01RR00052).

Copyright 2002 The Research Society on Alcoholism
KEYWORDS
Citalopram • Serotonin Transporter • Polymorphism • Adrenocorticotropin • Prolactin • Neuroendocrine • Cortisol

ABSTRACT

BackgroundThe integrity of serotonin neurotransmission may be important in reducing risk for alcoholism and in preventing relapse to alcohol dependence. There are several lines of evidence suggesting that alcohol dependent persons have an altered and/or injured serotonin system. The purpose of this study was to examine ACTH, cortisol, and prolactin responses to the selective serotonin reuptake inhibitor (SSRI), citalopram, as a function of personal or family history of alcohol dependence in a group of abstinent alcohol dependent men.

MethodsTwelve healthy, abstinent male participants who met diagnostic criteria for a history of alcohol dependence but not for other Axis I disorders were included in the study (mean years abstinent, 3.5 ± 3.7; mean years of dependent drinking, 15.2 ± 6.9). Fourteen healthy volunteers served as control subjects. Controls did not meet the DSM-IV diagnostic criteria for any Axis I disorders and history of drug or alcohol abuse or dependence. All subjects were also characterized by the presence or absence of family history of alcoholism validated by collateral interviews.

ResultsACTH responses to citalopram were minimally faster in abstinent alcohol dependent men compared to controls. However, cortisol and prolactin responses to citalopram did not differ by personal or family history of alcohol dependence. There was no correlation between hormone responses and the duration of abstinence from alcohol; between hormone responses and the years of dependent drinking and between hormone responses and NEO Personality Inventory scores.

ConclusionBy probing the functional capacity of the serotonin system with citalopram, we did not detect physiologically relevant hormone differences between abstinent alcohol dependent men and controls.


April 16, 2002; August 20, 2002.

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1530-0277.2002.tb02464.x About DOI

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