Document Detail


Effects of naltrexone during the descending limb of the blood alcohol curve.
MedLine Citation:
PMID:  18612879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The neuropharmacological effects of alcohol are known to vary by limb of the blood alcohol curve, yet human laboratory studies of alcoholism pharmacotherapies have largely failed to consider limb of intoxication when examining medication effects on subjective responses to alcohol. This study examined the effects of naltrexone compared to placebo on subjective responses to alcohol at the descending limb of the blood alcohol curve following a controlled intravenous (IV) alcohol administration. Non-treatment-seeking hazardous drinkers (n = 38) completed two double-blind counterbalanced IV alcohol challenge sessions, one after taking naltrexone (50 mg) for three days and one after taking a placebo for three days. During each session, participants reported on subjective responses to alcohol during the descending limb of the blood alcohol curve. Analyses revealed significant main effects of naltrexone, reflecting significantly decreased alcohol-induced stimulation, craving, vigor, positive mood, and alcohol "high" and increased tension as compared to placebo. These findings suggest that naltrexone may exert some of its therapeutic effects via alterations to experiential aspects of intoxication during the descending limb of alcohol intoxication. Additionally, these results highlight the potential utility of considering limb of blood alcohol curve when examining the mechanisms of action of pharmacotherapies thought to alter subjective responses to alcohol.
Authors:
Lara A Ray; Kent E Hutchison; James MacKillop; Robert Miranda; Amy Audette; Robert Swift; Peter M Monti
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions     Volume:  17     ISSN:  1521-0391     ISO Abbreviation:  Am J Addict     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-07-09     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9208821     Medline TA:  Am J Addict     Country:  United States    
Other Details:
Languages:  eng     Pagination:  257-64     Citation Subset:  IM    
Affiliation:
Center for Alcohol and Addiction Studies, Brown University, Providence, Rhode Island 02912, USA. Lara Ray@brown.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Affect / physiology
Alcoholic Intoxication / blood
Alcoholism / blood*,  psychology
Arousal / drug effects,  physiology
Double-Blind Method
Ethanol / administration & dosage,  pharmacokinetics*
Female
Humans
Infusions, Intravenous
Male
Motivation
Naltrexone / pharmacology*
Narcotic Antagonists / pharmacology*
Questionnaires
Sex Factors
Grant Support
ID/Acronym/Agency:
AA012238/AA/NIAAA NIH HHS; AA14847/AA/NIAAA NIH HHS; M01-RR00051/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Narcotic Antagonists; 16590-41-3/Naltrexone; 64-17-5/Ethanol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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