A comparison of the naloxone test with the insulin stress test in patients following transsphenoidal surgery

Clinical Endocrinology

Volumn 50, Issue 2, 1999, Pages 261-265

  McAllister, A S ^a   McCance, D R ^a   Hadden, D R ^a   Bell, P M ^a   Leslie, H ^a   Sheridan, B ^a   Atkinson, A B ^a  

^a ROYAL VICTORIA HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

CORTICOTROPIN; GLUCOSE; HYDROCORTISONE; INSULIN; NALOXONE;

ADULT; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOSE RESPONSE; GLUCOSE BLOOD LEVEL; HUMAN; HYDROCORTISONE BLOOD LEVEL; HYPOGLYCEMIA; HYPOTHALAMUS HYPOPHYSIS ADRENAL SYSTEM; INTRAVENOUS DRUG ADMINISTRATION; PRIORITY JOURNAL; THORAX DISEASE; TRANSSPHENOIDAL SURGERY;

ADRENOCORTICOTROPIC HORMONE; CASE-CONTROL STUDIES; HUMANS; HYDROCORTISONE; HYPOTHALAMO-HYPOPHYSEAL SYSTEM; INSULIN; MIDDLE AGED; NALOXONE; NARCOTIC ANTAGONISTS; PITUITARY NEOPLASMS; PITUITARY-ADRENAL SYSTEM; POSTOPERATIVE PERIOD; REPRODUCIBILITY OF RESULTS;

EID: 0033017309     PISSN: 03000664     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1365-2265.1999.00670.x     Document Type: Article

References (21)

1. Blevins, L.S., Dobs, A.S. & Wand, G.S. (1994) Naloxone-induced activation of the hypothalamic-pituitary-adrenal axis in suspected central adrenal insufficiency. American Journal of Medical Science, 308, 167-170.
2. Conaglen, J.V., Donald, R.A., Espiner, E.A., Livesey, J.H. & Nicholls, M.G. (1985) Effect of naloxone on the hormone response to CRF in normal man. Endocrine Research, 11, 39-44.
3. Delitala, G., Trainer, P.J., Oliva, O., Fanciulli, G. & Grossman, A.B. (1994) Opioid peptide and α-adrenoceptor pathways in the regulation of the pituitary-adrenal axis in man. Journal of Endocrinology. 141, 163-168.
4. Grice, J.E., Jackson, R.V., Hockings, G.I., Torpy, D.J., Walters, M.M. & Crosbie, G.V. (1995) Adrenocorticotropin hyperresponse to the corticotropin-releasing hormone-mediated stimulus of naxalone in patients with myotonic dystrophy. Journal of Clinical Endocrinology and Metabolism, 80, 179-184.
5. Grinspoon, S.K. & Biller, B.M.K. (1994) Laboratory assessment of adrenal insufficiency. Journal of Clinical Endocrinology and Metabolism, 79, 923-931.
6. Grossman, A. & Besser, G.M. (1982) Opiates control ACTH through a noradrenergic mechanism. Clinical Endocrinology, 17, 287-290.
7. Grossman, A., Gaillard, R.C., McCartney, P., Rees, L.H. & Besser, G.M. (1982) Opiate modulation of the pituitary-adrenal axis: effects of stress and circadian rhythm. Clinical Endocrinology, 17, 279-286.
8. Hockings, G.I., Grice, J.E., Crosbie, G.V., Walters, M.M., Jackson, A.J. & Jackson, R.V. (1993) Aspirin increases the human hypothalamic-pituitary-adrenal axis response to naloxone stimulation. Journal of Clinical Endocrinology and Metabolism, 77, 404-408.
9. Hockings, G.I., Grice, J.E., Walters, M.M., Crosbie, G.V., Torpy, D.J. & Jackson, R.V. (1995) A synergistic adrenocorticotropin response to naloxone and vasopressin in normal humans: evidence that naloxone stimulates endogenous corticotropin-releasing hormone. Neuroendocrinology, 61, 198-206.
10. Inder, W.J., Ellis, M.J., Evans, M.J. & Donald, R.A. (1995) A comparison of naloxone test with ovine CRH and insulin hypo-glycaemia in the evaluation of the hypothalamic-pituitary-adrenal axis in normal man. Clinical Endocrinology, 43, 425-431.
11. Jackson, R.V., Grice, J.E., Jackson, A.J. & Hockings, G.I. (1990) Naloxone-induced ACTH release in man is inhibited by clonidine. Clinical & Experimental Pharmacology & Physiology, 17, 179-184.
12. Jackson, R.V., Grice, J.E., Hockings, G.I. & Torpy, D.J. (1995) Naloxone-induced ACTH release: mechanism of actions in humans. Clinical Endocrinology, 43, 423-424.
13. Jackson, R.V., Hockings, G.I., Torpy, D.J., Grice, J.E., Crosbie, G.V., Walters, M.M. & Strakosch, C.R. (1996) New diagnostic tests for Cushing's syndrome: uses of naloxone, vasopressin and alprazolam. Clinical & Experimental Pharmacology & Physiology, 23, 579-581.
14. Joyce, P.R. & Donald, R.A. (1987) Naloxone augments the hypothalamic-pituitary-adrenal axis response to methylphenidate in normal subjects. Journal of Psychiatric Research, 21, 297-300.
15. Morley, J.E., Baranetsky, N.G., Wingert, T.D., Carlson, H.E., Hershman, J.M., Melmed, S., Leven, S.R., Jamison, K.R., Weitzman, R., Chang, R.J. & Varner, A.A. (1980) Endocrine effects of naloxone-induced opiate receptor blockade. Journal of Clinical Endocrinology and Metabolism, 50, 251-257.
16. Satta, M.A., Maussier, M.L., De Rosa, G., Valenza, V., Testa, A., Saletnich, I., Napolitano, G. & Monaco, F. (1992) Effects of naloxone on adrenocorticotrophin (ACTH) and cortisol in obese subjects. Hormone and Metabolic Research, 24, 44-45.
17. Szabo, E., Annus, J., Zalanyi, S.J. & Falkay, G. (1987) Disparate effects of naloxone in hypothalamic amenorrhoea of athletes. Functional Neurology, 2, 315-321.
18. Torpy, D.J., Jackson, R.V., Grice, J.E., Hockings, G.I., Strakosch, C.R. & Topliss, D.J. (1993a) Naloxone stimulation of ACTH secretion during petrosal sinus sampling in Cushing's syndrome. Clinical & Experimental Pharmacology & Physiology, 20, 299-302.
19. Torpy, D.J., Grice, J.E., Hockings, G.I., Walters, M.M., Crosbie, G.V. & Jackson, R.V. (1993b) Alprazolam blocks the naloxone-stimulated hypothalamo-pituitary-adrenal axis in man. Journal of Clinical Endocrinology and Metabolism, 76, 388-391.
20. Volavka, J., Cho, D., Mallya, A. & Bauman, J. (1979) Naloxone increases ACTH and cortisol levels in man. New England Journal of Medicine, 300, 1056-1057.
21. Wolkowitz., O.M., Doran, A.R., Breier, A., Cohen, M.R. & Pickar, D. (1986) Endogenous opioid regulation of hypothalamo-pituitary-adrenal axis activity in schizophrenia. Biological Psychiatry 21, 366-373.