Selective effects of serotonergic psychoactive agents on gastrointestinal functions in health.

Autor: Chial, Heather J., Camilleri, Michael, Burton, Duane, Thomforde, George, Olden, Kevin W., Stephens, Debra
Předmět:
Zdroj: American Journal of Physiology: Gastrointestinal & Liver Physiology; Jan2003, Vol. 284 Issue 1, pG130, 8p, 4 Black and White Photographs, 1 Diagram, 4 Charts, 4 Graphs
Abstrakt: This study evaluated the effects of serotonergic psychoactive agents on gastrointestinal functions in healthy human subjects. Participants received one of four regimens in a randomized, double-blind manner: buspirone, a 5-HT[sub 1A] receptor agonist (10 mg twice daily); paroxetine, a selective serotonin reuptake inhibitor (20 mg daily); venlafaxine-XR, a selective serotonin and norepinephrine reuptake inhibitor (75 mg daily); or placebo for 11 days. Physiological testing performed on days 8-11 included scintigraphic assessment of gastrointestinal and colonic transit, the nutrient drink test, and assessment of the postprandial change in gastric volume. Fifty-one healthy adults (40 females, 11 males) participated in this study. No effects on gastric emptying or colonic transit were identified with any agent. Small bowel transit of a solid meal was accelerated by paroxetine. Buspirone decreased postprandial aggregate symptom and nausea scores. Venlafaxine-XR increased the postprandial change in gastric volume. Buspirone, paroxetine, and venlafaxine-XR affect upper gastrointestinal functions in healthy humans. These data support the need for clinical and physiological studies of these agents in functional gastrointestinal disorders. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index