BUPRENORPHINE ALONE AND IN COMBINATION WITH NALOXONE IN NONDEPENDENT HUMANS

被引:51
作者
WEINHOLD, LL [1 ]
PRESTON, KL [1 ]
FARRE, M [1 ]
LIEBSON, IA [1 ]
BIGELOW, GE [1 ]
机构
[1] JOHNS HOPKINS UNIV,SCH MED,BEHAV PHARMACOL RES UNIT,BALTIMORE,MD 21205
关键词
BUPRENORPHINE; NALOXONE; OPIOID; ABUSE LIABILITY; HUMAN;
D O I
10.1016/0376-8716(92)90061-G
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
This study evaluated the effects of concurrent naloxone on the opioid agonist effects of buprenorphine, a mixed agonist-antagonist marketed as an analgesic and under development as a treatment for drug abuse. In a residential laboratory seven non-physically-dependent opioid abuser volunteers received intramuscular buprenorphine (0.4 mg or 0.8 mg/70 kg) alone and in combination with naloxone (0.4 mg or 0.8 mg/70 kg) versus placebo. Buprenorphine produced dose-related opioid agonist effects on physiological and subjective measures. Concurrent naloxone attenuated the opioid agonist effects of buprenorphine. Thus, a combination product of buprenorphine and naloxone may have lower abuse liability than buprenorphine alone.
引用
收藏
页码:263 / 274
页数:12
相关论文
共 29 条
[1]   A CLINICAL-TRIAL OF BUPRENORPHINE - COMPARISON WITH METHADONE IN THE DETOXIFICATION OF HEROIN-ADDICTS [J].
BICKEL, WK ;
STITZER, ML ;
BIGELOW, GE ;
LIEBSON, IA ;
JASINSKI, DR ;
JOHNSON, RE .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 1988, 43 (01) :72-78
[2]  
BICKEL WK, 1988, J PHARMACOL EXP THER, V247, P47
[3]   AGONIST AND ANTAGONIST PROPERTIES OF BUPRENORPHINE, A NEW ANTINOCICEPTIVE AGENT [J].
COWAN, A ;
LEWIS, JW ;
MACFARLANE, IR .
BRITISH JOURNAL OF PHARMACOLOGY, 1977, 60 (04) :537-545
[4]  
FRASER HF, 1961, J PHARMACOL EXP THER, V133, P371
[5]   STUDIES ON N-ALLYLNORMORPHINE IN MAN - ANTAGONISM TO MORPHINE AND HEROIN AND EFFECTS OF MIXTURES OF N-ALLYLNORMORPHINE AND MORPHINE [J].
FRASER, HF ;
VANHORN, GD ;
ISBELL, H .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 1956, 231 (01) :1-8
[6]  
GRIFFITHS RR, 1980, J PHARMACOL EXP THER, V215, P649
[7]  
Hambrook J, 1976, OPIATES ENDOGENOUS P, P295
[8]   THE ADDICTION RESEARCH-CENTER INVENTORY - STANDARDIZATION OF SCALES WHICH EVALUATE SUBJECTIVE EFFECTS OF MORPHINE, AMPHETAMINE, PENTOBARBITAL, ALCOHOL, LSD-25, PYRAHEXYL AND CHLORPROMAZINE [J].
HILL, HE ;
HAERTZEN, CA ;
WOLBACH, AB ;
MINER, EJ .
PSYCHOPHARMACOLOGIA, 1963, 4 (03) :167-183
[9]  
HOFFMEISTER F, 1986, PSYCHOPHARMACOLOGY, V90, P441
[10]  
JAFFE JH, 1990, PHARMACOL BASIS THER, P485