Skip to main content
Log in

Effects of fenfluramine on social behavior in autistic children

  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Deficit in social interaction is a primary component of infantile autism. However, in the majority of drug studies, social interaction has not been measured consistently over time. Therefore, we examined, in a crossover design, the effect of fenfluramine on the social interactions of seven autistic children. Social interaction was measured one to three times per week, while the children were in open placebo, placebo, or drug phases of the study. The results demonstrated that the effect of fenfluramine on social interaction was inconsistent across children, with two children possibly demonstrating a tolerance to the behavioral effects of the drug. The results are discussed with respect to genetic and pharmacologic factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Conners, C. K., & Barkley, R. A. (1985). Rating scales and checklists for child psychopharmacology.Psychopharmacology Bulletin, 21, 809–815.

    Google Scholar 

  • DeMyer, M. K., Hingtgen, J. N., & Jackson, R. K. (1981). Infantile autism reviewed: A decade of research.Schizophrenia Bulletin, 7, 388–450.

    Google Scholar 

  • Egel, A. L., & Neef, N. A. (1983).Model demonstration program for autistic children and youth (Grant no. G00-800-1720, 3-year report). Washington, DC: USOE/SEP.

    Google Scholar 

  • Freeman, B. J., Ritvo, E. R., Yokota, A., & Ritvo, A. (1986). A scale for rating symptoms of patients with the syndrome of autism in real life settings.Journal of American Academy of Child Psychiatry, 25, 130–136.

    Google Scholar 

  • Garratini, S. (1983). Importance of establishing the presence of active drug metabolites.European Journal of Drug Metabolism and Pharmacology, 8, 97–108.

    Google Scholar 

  • Geller, E., Ritvo, E., Freeman, B. J., & Yuwiler, A. (1982). Preliminary observations on the effect of fenfluramine on blood serotonin and symptoms in 3 autistic boys.New England Journal of Medicine, 307, 165–169.

    Google Scholar 

  • Ho, H. H., Lockitch, G., Faves, L., Eaves, L., & Jacobson, B. (1986). Blood serotonin concentrations and fenfluramine therapy in autistic children.Journal of Pediatrics 108, 465–469.

    Google Scholar 

  • Klykylo, W. W., Feldis, D., O'Grady, D., Ross, D. L., & Halloran, C. (1985). Brief report: Clinical effects of fenfluramine in ten autistic subjects.Journal of Autism and Developmental Disorders, 15, 417–423.

    Google Scholar 

  • Krebs, H. A., Cheng, L. K., & Wright, G. J. (1984). The determination of fenfluramine and norfenfluramine in plasma using a nitrogen-sensitive detector.Journal of Chromatography, 310, 412–417.

    Google Scholar 

  • Reiss, A. L., Feinstein, C., Rosenbaum, K. N., Borengasser-Caruso, M. A., & Goldsmith, B. (1985). Autism associated with Williams syndrome.Journal of Pediatrics, 106, 247–249.

    Google Scholar 

  • Reiss, A. L., Feinstein, C., Toomey, K. E., Goldsmith, B., Rosenbaum, K., & Caruso, M. A. (1986). Psychiatric disability associated with the fragile X chromosome.American Journal of Medical Genetics, 23, 393–402.

    Google Scholar 

  • Ritvo, E. R., & Freeman, B. J. (1978). National Society for Autistic Children definition of the syndrome of autism.Journal of the American Academy of Child Psychiatry, 17, 565–576.

    Google Scholar 

  • Ritvo, E. R., Freeman, B. J., Geller, E., & Yuwiler, A. (1983). Effects of fenfluramine on 14 outpatients with the syndrome of autism.Journal of the American Academy of Child Psychiatry, 22, 549–558.

    Google Scholar 

  • Ritvo, E. R., Freeman, B. J., Yuwiler, A., Geller, E., Schroth, P., Yokota, A., Mason-Brothers, A., August, G. J., Klykylo, W., Leventhal, B., Lewis, K., Piggott, L., Realmuto, G., Stubbs, E. G., & Umansky, R. (1986). Fenfluramine treatment of autism: UCLA collaborative study of 81 patients at nine medical centers.Psychopharmacology Bulletin, 22, 133–140.

    Google Scholar 

  • Ritvo, E. R., Yuwiler, A., Geller, E., Ornitz, E. M., Saeger, K., & Plotkin, S. (1970). Increased blood serotonin and platelets in early infantile autism.Archives of General Psychiatry, 23, 566–572.

    Google Scholar 

  • Strain, P. S. (1977). An experimental analysis of peer social initiations on the behavior of withdrawn preschool children: Some training and generalization effects.Journal of Abnormal Child Psychology, 5, 445–455.

    Google Scholar 

  • Strain, P. S., Shores, R., & Kerr, M. M. (1976). An experimental analysis of spillover effects on the social interaction of behaviorally handicapped preschool children.Journal of Applied Behavior Analysis, 9, 31–40.

    Google Scholar 

  • Stubbs, E. G., Budden, S. S., Jackson, R. H., Terdal, L. G., & Ritvo, E. R. (1986). Effects of fenfluramine on eight outpatients with the syndrome of autism.Developmental Medicine and Child Neurology, 28, 229–235.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Johns Hopkins University School of Medicine, and The Kennedy Institute for Handicapped Children

Portions of this research were supported by a grant from the Schizophrenia Research Program of the Supreme Council 33; A∴A∴, Scottish Rite. The authors gratefully acknowledge the help of Lynne C. Huffman for her suggestions in editing this manuscript, and Christopher Bogart, Hillary Schwartz, Patricia Hallinan, and Cindy Tilly for performing behavioral observations. The data collection would not have been possible without the active participation of the staff of the MCPS autism program. Finally, the authors thank Seneith Cofield for her assistance in the preparation of this manuscript.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reiss, A.L., Egel, A.L., Feinstein, C. et al. Effects of fenfluramine on social behavior in autistic children. J Autism Dev Disord 18, 617–625 (1988). https://doi.org/10.1007/BF02211879

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02211879

Keywords

Navigation