We examined the serotonergic system in drug-free inpatients [schizophrenia
(n = 28) and schizoaffective (n = 7)] by administering a challenge dose of
oral nl-fenfluramine (fenfluramine) in a controlled angiocatheter study. Se
venteen of these patients were also randomized to a placebo condition in ad
dition to receiving fenfluramine. Response to fenfluramine as reflected by
changes in serum prolactin and cortisol were examined by repeated measures
ANOVA, as well as Area Under the Curves (AUCs). The prolactin response, but
not the cortisol response, was significantly correlated with measures of n
egative symptoms. (C) 1999 Elsevier Science B.V. All rights reserved.