Oxytocin and the Role of Fluid Restriction in MDMA-Induced Hyponatremia

In this secondary analysis of 4 randomized clinical trials, a high incidence of acute hyponatremia was observed in response to MDMA, which may be mitigated by fluid restriction. Hyponatremia was associated with acute oxytocin but not copeptin release. This challenges the current hypothesis of direct vasopressin release and rather indicates that oxytocin mimics the effect of vasopressin in the kidneys due to structural homology.

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Publication Details

Journal
JAMA Network Open
Published
2024-11-15
DOI
https://doi.org/10.1001/jamanetworkopen.2024.45278
Citations
12
Primary Topic
Neuroendocrine regulation and behavior
Type
article
Field-Weighted Citation Impact
7.72
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article

Oxytocin and the Role of Fluid Restriction in MDMA-Induced Hyponatremia

Patrick Vizeli, Friederike Holze, Cihan Atila, Isabelle Straumann et al.
12 citations
JAMA Network Open
Neuroendocrine regulation and behavior
7.72
article

Oxytocin and the Role of Fluid Restriction in MDMA-Induced Hyponatremia

Patrick Vizeli, Friederike Holze, Cihan Atila, Isabelle Straumann, Matthias E. Liechti, Mirjam Christ‐Crain, Sophie Monnerat, Julia Beck
article en
12 citations

Abstract

In this secondary analysis of 4 randomized clinical trials, a high incidence of acute hyponatremia was observed in response to MDMA, which may be mitigated by fluid restriction. Hyponatremia was associated with acute oxytocin but not copeptin release. This challenges the current hypothesis of direct vasopressin release and rather indicates that oxytocin mimics the effect of vasopressin in the kidneys due to structural homology.

JAMA Network OpenVol. 7(11)
University of Basel (CH), University Hospital of Basel (CH)
Good health and well-being
Openalex Percentile: Top 2%
Neuroendocrine regulation and behavior
7.72
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