Review Article

The Contribution of Endogenous Modulatory Systems to TMS- and tDCS-Induced Analgesia: Evidence from PET Studies

Table 4

A summary of the main findings of the studies investigating the effects of TMS on the serotonergic system.

Serotonergic system
StudyDesignPopulation (n)InterventionResult

Kuo et al., 2016Crossover randomized double-blind placebo-controlled studyHealthy volunteers.
Four sessions of active tDCS of M1, after intake of placebo, dextromethorphan or citalopramChronic administration of citalopram prolonged and enhanced the LTP driven by anodal stimulation. Furthermore, it converted the LTD related to cathodal stimulation into facilitation. Both effects were reverted by dextromethorphan administration.