PMID- 18562414 OWN - NLM STAT- MEDLINE DCOM- 20091104 LR - 20221207 IS - 0269-8811 (Print) IS - 0269-8811 (Linking) VI - 23 IP - 7 DP - 2009 Sep TI - Neuroendocrine and subjective responses to pharmacological challenge with citalopram: a controlled study in male and female ecstasy/MDMA users. PG - 759-74 LID - 10.1177/0269881108092336 [doi] AB - Despite evidence that +/-3,4-methylenedioxymethamphetamine (MDMA; 'ecstasy') causes persistent alterations to the serotonergic system of animals, evidence for long-term neurological effects of ecstasy/MDMA in humans remains equivocal. The current study assessed serotonin functioning of nine male and 11 female recreational ecstasy polydrug users by measuring neuroendocrine (prolactin, cortisol) responses to pharmacological challenge with the selective serotonin reuptake inhibitor citalopram, compared with nine male and five female cannabis polydrug users and 11 male and 11 female non-drug using controls. A single-blind, randomised, placebo-controlled design was used. Subjective responses, other substance use, mood, personality traits and demographic variables were measured to control for potentially confounding variables. There were no significant differences between ecstasy polydrug users, cannabis polydrug users and non-drug using controls in neuroendocrine or subjective responses to serotonergic challenge, and there were no sex by drug group interactions. There was no relationship between extent of ecstasy use and neuroendocrine functioning, alone or in combination with potential confounding variables. Subjective responses to the pharmacological challenge (nausea, tremor, dry mouth), novelty seeking and lifetime dose of alcohol were the only variables that contributed to one or more of the neuroendocrine outcome variables. These data do not support the premise that recreational ecstasy/MDMA use results in measurable impairment of serotonergic control of endocrine activity. FAU - Allott, K AU - Allott K AD - School of Psychology, Psychiatry and Psychological Medicine, Monash University, Melbourne, Victoria, Australia. kallott@unimelb.edu.au FAU - Canny, B K AU - Canny BK FAU - Broadbear, J H AU - Broadbear JH FAU - Stepto, N K AU - Stepto NK FAU - Murphy, B AU - Murphy B FAU - Redman, J AU - Redman J LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20080618 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 0 (Serotonin Uptake Inhibitors) RN - 0DHU5B8D6V (Citalopram) RN - 9002-62-4 (Prolactin) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adult MH - Affect/drug effects MH - Cannabis/adverse effects MH - Citalopram/*pharmacology MH - Drug Users/*psychology MH - Female MH - Humans MH - Hydrocortisone/*blood MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Personality/drug effects MH - Prolactin/*blood MH - Selective Serotonin Reuptake Inhibitors/*pharmacology MH - Sex Characteristics EDAT- 2008/06/20 09:00 MHDA- 2009/11/05 06:00 CRDT- 2008/06/20 09:00 PHST- 2008/06/20 09:00 [pubmed] PHST- 2009/11/05 06:00 [medline] PHST- 2008/06/20 09:00 [entrez] AID - 0269881108092336 [pii] AID - 10.1177/0269881108092336 [doi] PST - ppublish SO - J Psychopharmacol. 2009 Sep;23(7):759-74. doi: 10.1177/0269881108092336. Epub 2008 Jun 18.