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Neuroendocrine and Mood Responses to Intravenous L-Tryptophan in 3,4-Methylenedioxymethamphetamine (MDMA) Users

Lawrence H. Price

Archives of General Psychiatry 1989 DOI: 10.1001/archpsyc.1989.01810010022003 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 18
Population Recreational MDMA users and matched healthy controls
Intervention Intravenous L-tryptophan
Topics MDMA Serotonin
Keywords Mood Hallucinogen 5-hydroxytryptophan Pharmacology
Citations 92
Key findings MDMA users showed blunted prolactin response to L-tryptophan, suggesting altered serotonin function, but the difference from controls was not statistically significant.

Abstract

3,4-Methylenedioxymethamphetamine (MDMA; "ecstasy") is a selective serotonin (5-HT) neurotoxin in laboratory animals. To assess its effects on 5-HT function in humans, serum prolactin (PRL) and mood responses to intravenous L-tryptophan were measured in nine recreational users of MDMA and compared with findings from nine matched healthy controls. L-Tryptophan induced a rise in the PRL concentration in controls, but not in MDMA users. Peak change and the area under the curve of the PRL response appeared to be blunted in MDMA users, but the difference from controls did not reach statistical significance. This study provides suggestive evidence of altered 5-HT function in MDMA users, but more definitive studies clearly are needed.

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