Buprenorphine and naloxone co-administration in opiate-dependent patients stabilized on sublingual buprenorphine

被引:97
作者
Harris, DS
Jones, RT
Welm, S
Upton, RA
Lin, E
Mendelson, J
机构
[1] Univ Calif San Francisco, Langley Porter Psychiat Inst, Drug Dependence Res Ctr, San Francisco, CA 94143 USA
[2] Univ Calif San Francisco, Dept Biopharmaceut Sci, San Francisco, CA 94143 USA
关键词
buprenorphine; naloxone; opiate withdrawal; sublingual; pharmacokinetics;
D O I
10.1016/S0376-8716(00)00126-5
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
Buprenorphine and naloxone sublingual (s.l.) dose formulations may decrease parenteral buprenorphine abuse. We evaluated pharmacologic interactions between 8 mg s.l. buprenorphine combined with 0, 4, or 8 mg of naloxone in nine opiate-dependent volunteers stabilized on 8 mg s.l. buprenorphine for 7 days. Combined naloxone and buprenorphine did not diminish buprenorphine's effects on opiate withdrawal nor alter buprenorphine bioavailability. Opiate addicts stabilized on buprenorphine showed no evidence of precipitated opiate withdrawal after s.l. buprenorphine-naloxone combinations. Buprenorphine and naloxone bioavailability was similar to 40 and 10%, respectively. Intravenous buprenorphine and naloxone produced subjective effects similar to those of s.l. buprenorphine and did not precipitate opiate withdrawal. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:85 / 94
页数:10
相关论文
共 37 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]   The French experience - The pharmacist, general practitioner and patient perspective [J].
Bouchez, J ;
Vignau, J .
EUROPEAN ADDICTION RESEARCH, 1998, 4 :19-23
[3]  
CHOWDHURY AN, 1990, BRIT J ADDICT, V85, P1349
[4]   Outpatient opiate detoxification treatment with buprenorphine - Preliminary investigation [J].
Diamant, K ;
Fischer, G ;
Schneider, C ;
Lenzinger, E ;
Pezawas, L ;
Schindler, S ;
Eder, H .
EUROPEAN ADDICTION RESEARCH, 1998, 4 (04) :198-202
[5]   Comparison of buprenorphine and methadone maintenance in opiate addicts [J].
Eder, H ;
Fischer, G ;
Gombas, W ;
Jagsch, R ;
Stuhlinger, G ;
Kasper, S .
EUROPEAN ADDICTION RESEARCH, 1998, 4 :3-7
[6]  
Eissenberg T, 1996, J PHARMACOL EXP THER, V276, P449
[7]   Effects of buprenorphine and naloxone in morphine-stabilized opioid addicts [J].
Fudala, PJ ;
Yu, E ;
Macfadden, W ;
Boardman, C .
DRUG AND ALCOHOL DEPENDENCE, 1998, 50 (01) :1-8
[8]   ANALYSIS OF EPIDEMIOLOGICAL DATA ON AGONIST-ANTAGONIST ANALGESICS [J].
GHODSE, AH .
DRUG AND ALCOHOL DEPENDENCE, 1987, 20 (04) :375-383
[9]  
HSIEH Y, 1997, PHARM RES, V14, P738
[10]  
Johnson R E, 1992, NIDA Res Monogr, V121, P120