Serotonergic anti-depressants and ethanol withdrawal syndrome: a review

Alcohol Alcohol. 2008 Jan-Feb;43(1):15-24. doi: 10.1093/alcalc/agm145. Epub 2007 Oct 12.

Abstract

Aim: To review laboratory findings on the effects of anti-depressant agents that interact with the serotonergic system on signs of ethanol withdrawal syndrome in rats.

Method: Adult Wistar rats received a modified liquid diet to produce ethanol dependence. Signs of ethanol withdrawal, locomotor hyperactivity, stereotyped behaviour, tremor, wet dog shakes, agitation, and audiogenic seizures, were evaluated for the first 6 h of ethanol withdrawal. The effects of the anti-depressants fluoxetine, venlafaxine, escitalopram, tianeptine, and extract of Hypericum perforatum (St. John's wort) (HPE) were examined.

Results: Some beneficial effects of fluoxetine, tianeptine, HPE, escitalopram and venlafaxine on ethanol withdrawal signs were observed, ranked as follows: fluoxetine = tianeptine > HPE > escitalopram > venlafaxine.

Conclusions: Tianeptine and fluoxetine seem to be potent pharmacologically active agents on ethanol withdrawal syndrome in rats. Thus, these anti-depressants may be useful in treatment of ethanol withdrawal syndrome in patients with alcoholism. In addition to serotonergic effects, interactions with nitrergic, glutamatergic, and adenosinergic systems may also provide a significant contribution to the beneficial effects of these drugs on ethanol withdrawal syndrome.

Publication types

  • Review

MeSH terms

  • Alcohol Drinking / adverse effects
  • Alcohol Drinking / psychology
  • Animals
  • Antidepressive Agents / therapeutic use*
  • Citalopram / therapeutic use
  • Ethanol / administration & dosage
  • Ethanol / adverse effects*
  • Fluoxetine / therapeutic use
  • Humans
  • Hypericum
  • Motor Activity / drug effects
  • Plant Extracts / therapeutic use
  • Rats
  • Rats, Wistar
  • Serotonin Agents / therapeutic use*
  • Serotonin Antagonists / therapeutic use
  • Substance Withdrawal Syndrome / drug therapy*
  • Substance Withdrawal Syndrome / metabolism*
  • Substance Withdrawal Syndrome / psychology

Substances

  • Antidepressive Agents
  • Plant Extracts
  • Serotonin Agents
  • Serotonin Antagonists
  • Fluoxetine
  • Citalopram
  • Ethanol