ACUTE PHYSICAL-DEPENDENCE IN HUMANS - REPEATED NALOXONE-PRECIPITATED WITHDRAWAL AFTER A SINGLE DOSE OF METHADONE

被引:23
作者
WRIGHT, C [1 ]
BIGELOW, GE [1 ]
STITZER, ML [1 ]
LIEBSON, IA [1 ]
机构
[1] FRANCIS SCOTT KEY MED CTR,BALTIMORE,MD
关键词
PHYSICAL DEPENDENCE; METHADONE; NALOXONE; TIME COURSE; HUMANS;
D O I
10.1016/0376-8716(91)90033-U
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 paper reports the intensity and duration of acute physical dependence precipitated by naloxone administration following a single pre-treatment with the opioid agonist methadone (30 mg/70 kg, i.m.) in six non-dependent human volunteers with histories of prior opioid abuse. In a within-subject cross-over design, challenges of the antagonist naloxone (0.5-1.0 mg, i.m.) were administered at 6, 30 and 54 h, 30 and 54 h, or at only 54 h after methadone pre-treatment. Acute physical dependence, as indicated by physiologic, subjective, and observer rated withdrawal, was seen in all subjects following active naloxone administration, was of nearly uniform intensity for a period of 6-54 h after acute methadone administration, and was not attenuated by prior naloxone administration.
引用
收藏
页码:139 / 148
页数:10
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