Dexfenfluramine drug data and news

Dexfenfluramine drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Dexfenfluramine
Brand Names/Synonyms Adifax; D-Fenfluramine; DEXFENFLURAMINE HYDROCHLORIDE; Dea No. 1670; Dexafenfluramine; Dexfenfluramina [Spanish]; Dexfenfluramine; Dexfenfluraminum [Latin]; Dextrofenfluramine; Fenfluramine L-Form; L-Fenfluramine; Levofenfluramina [Spanish]; Levofenfluramine; Levofenfluramine [Inn]; Levofenfluraminum [Latin]; Redux
Indication For the management of obesity including weight loss and maintenance of weight loss in patients on a reduced calorie diet
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Description Not Available
Pharmacology Used to treat diabetes and obesity, Dexfenfluramine decreases caloric intake by increasing serotonin levels in the brain’s synapses. Dexfenfluramine acts as a serotonin reuptake inhibitor. It also causes release of serotonin from the synaptosomes.
Mechanism Of Action Dexfenfluramine binds to the serotonin reuptake pump. This causes inhbition of serotonin uptake and release of serotonin. The increased levels of serotonin lead to greater serotonin receptor activation which in turn lead to enhancement of serotoninergic transmission in the centres of feeding behavior located in the hypothalamus. This suppresses the appetite for carbohydrates.
Dexfenfluramine News
(When available)

Leading Doctor Cites Obesity Drugs in Attack on FDA Approval ...  Feb 8, 2006
..."The most notorious example of an appetite-control drug that the FDA deemed good enough for approval was dexfenfluramine (Redux), the d-isomer of the decades ... - Diet Drug Report,

Mechanically stimulating the heart  Feb 23, 2006
Two months later, The Food and Drug Administration asked the makers of fenfluramine and dexfenfluramine to voluntarily remove both treatments from the market. ... - myDNA.com,

There's still no magic pill for weight loss  Feb 19, 2006
...company. Some say the field remains shaken by the FDA's decision to pull fenfluramine and dexfenfluramine from the market in 1997. ... - Boston Globe,

Encouraging Early News About Another Obesity Drug, APD356  Feb 8, 2006
This compound targets a different serotonin receptor than Fen-Phen and dexfenfluramine, and the most common side effects from APD356 reported from the short ... - Diet Drug Report,

Wyeth Hoping to Settle Most Remaining "Fen-phen" Lawsuits in Next ...  Feb 9, 2006
Pondimin (fenfluramine hydrochloride) and Redux (dexfenfluramine), the two drugs that made up the "fen" portion of what in the 1990s was the extraordinarily ... - Diet Drug Report,

Dosage Forms Not Available
Drug_Category Serotonin reuptake inhibitor; Antiobesity Agents; Appetite Depressants; ATC:A08AA04
Absorption Not Available
Interactions Interactions for Dexfenfluramine:

In patients receiving nonselective monoamine oxidase inhibitors (MAOIs) (e.g., selegiline hydrochloride) in combination with serotoninergic agents (e.g., fluoxetine, fluvoxamine, paroxetine, sertraline, venlafaxine), there have been reports of serious, sometimes fatal, reactions. Because dexfenfluramine is a serotonin releaser and reuptake inhibitor, dexfenfluramine should not be used concomitantly with a MAO inhibitor.

At least 14 days should elapse between discontinuation of a MAO inhibitor and initiation of treatment with dexfenfluramine. At least 3 weeks should elapse between discontinuation of dexfenfluramine and initiation of treatment with a MAO inhibitor.

A rare, but serious, constellation of symptoms, termed "serotonin syndrome," has been reported with the concomitant use of selective serotonin reuptake inhibitors (SSRIs) and agents for migraine therapy, such as Imitrex (sumatriptan succinate) and dihydroergotamine. The syndrome requires immediate medical attention and may include one or more of the following symptoms: excitement, hypomania, restlessness, loss of consciousness, confusion, disorientation, anxiety, agitation, motor weakness, myoclonus, tremor, hemiballismus, hyperreflexia, ataxia, dysarthria, incoordination, hyperthermia, shivering, pupillary dilation, diaphoresis, emesis, and tachycardia. Dexfenfluramine should not be administered with other serotoninergic agents. The appropriate interval between administration of these agents and dexfenfluramine has not been established. The use of dexfenfluramine with other CNS-active drugs has not been systematically evaluated; consequently, caution is advised if dexfenfluramine and such drugs are prescribed concurrently.

Toxicity Not Available
Organisms Affected Humans and other mammals
Chemical IUPAC Name N-ethyl-1-[3-(trifluoromethyl)phenyl]-propan-2-amine
Chemical Formula C12H16F3N
Molecular Weight 231.257 g/mol
Smiles String CCNC(C)CC1=CC(=CC=C1)C(F)(F)F
Melting Point Not Available
Water Solubility Not Available
State Solid
LogP/Hphobicity 3.74
Isoelectric Point Not Available
Biotransformation Not Available
Half Life 17-20 hours
Protein Binding [%] 36%
RxList Link RXlist
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Drug Reference http://www.rxlist.com/cgi/generic/dexfen.htm
Drug Type Approved Drug
Accession No APRD00648
CAS Registry Number 3239-44-9
KEGG Compound ID Not Available
PubChem ID SID:161613
PharmGKB ID Not Available
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] Not Available

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