Characterization of benzodiazepine withdrawal in high- and low-dose dependent psychiatric inpatients.

Abstract:

:Fourteen patients with high- (n = 7) and low-dose (n = 7) benzodiazepine (BDZ) dependency presented predominantly with anxious and depressive neurotic symptoms which caused long-term BDZ medication. Their BDZ dependency was characterized by giving preference to the abuse of benzodiazepines with long elimination half-life. Significant enlargement of CSF spaces was only found in high-dose dependent patients. Withdrawal after long-term BDZ medication revealed no differences between high- and low-dose BDZ dependency with respect to onset of withdrawal reaction and the correlation between onset of withdrawal and peak fall of BDZ serum level. The peak of withdrawal was reached 3-4 days later in high-dose BDZ dependent patients compared with those with a low-dose dependency. The peak withdrawal in high-dose dependent patients appeared when the serum BDZ metabolite nordiazepam dropped significantly. No such concomitant appearance of peak withdrawal and drop of serum nordiazepam level could be found in low-dose dependent patients. Specificity and intensity of BDZ withdrawal symptoms were the same for those dependent upon high doses of BDZs and those dependent upon low doses, but a protracted withdrawal was only observed in low-dose BDZ-dependent patients. During the withdrawal period psychopathometric measurements consistently revealed parallel changes in the scores for physical withdrawal symptoms, anxiety and depression. It is not clear whether anxiety and depression are "typical" BDZ withdrawal reactions or represent a "reactivated" state of the psychopathological disturbance which lead to the BDZ dependency. Possible implications for the therapeutical management of BDZ-dependent patients are discussed.

journal_name

Brain Res Bull

journal_title

Brain research bulletin

authors

Schmauss C,Apelt S,Emrich HM

doi

10.1016/0361-9230(87)90109-2

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

393-400

issue

3

eissn

0361-9230

issn

1873-2747

pii

0361-9230(87)90109-2

journal_volume

19

pub_type

杂志文章
  • Systemic Interleukin-1beta stimulates the simultaneous release of norepinephrine in the paraventricular nucleus and the median eminence.

    abstract::Interleukin-1beta (IL-1beta), a cytokine with pronounced central effects such as fever, anorexia, analgesia, etc., is also known to activate the hypothalamo-pituitary-adrenal (HPA) axis. Corticotropin releasing hormone (CRH) neurons located in the hypothalamus are important for HPA activation. The cell bodies of CRH n...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2005.02.021

    authors: MohanKumar SM,MohanKumar PS

    更新日期:2005-05-15 00:00:00

  • Suppression of excitotoxicity and foreign body response by memantine in chronic cannula implantation into the rat brain.

    abstract::Chronic brain implants are accompanied by a tissue response that causes the loss of neurons in the vicinity of the implant and the formation of a glial scar that is also referred to as foreign body response. Despite immense progress in the field of brain-computer interface (BCI) research the biocompatibility of chroni...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2015.08.001

    authors: Hayn L,Koch M

    更新日期:2015-08-01 00:00:00

  • Changes in retention of a visual discrimination task following unilateral and bilateral transections of temporo-entorhinal connections in rats.

    abstract::In a previous study, it was shown that the lateral entorhinal cortex (LEC) in the left hemisphere contains higher concentration of glutamate than in the right hemisphere. The purpose of the present study was to examine potential relationship between this neurochemical asymmetry and behavior. Rats with either left, rig...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(90)90074-a

    authors: Myhrer T,Iversen EG

    更新日期:1990-08-01 00:00:00

  • Mapping the effects of motor cortex stimulation on somatosensory relay neurons in the rat thalamus: direct responses and afferent modulation.

    abstract::Single unit recordings were used to map the spatial distribution of motor (MI) cortical influences on thalamic somatosensory relay nuclei in the rat. A total of 215 microelectrode penetrations were made to record single neurons in tracks through the medial and lateral ventroposterior (VPM and VPL), ventrolateral (VL),...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(90)90213-j

    authors: Shin HC,Chapin JK

    更新日期:1990-02-01 00:00:00

  • Developmental regulation of chick embryo retina neurite extension by extrinsic factors.

    abstract::Developmental changes in the control of neurite extension by extracellular factors can be examined by utilizing cultures of neurons from various aged embryos. Several conditioned media and tissue extracts were added to cultures of chick embryo retinal neurons on collagen substrates for 1, 3 and 5 days in vitro. Neurit...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(87)90112-2

    authors: Thompson JM,Lu AH,Ruch S

    更新日期:1987-04-01 00:00:00

  • Inhibitory effect of regucalcin on Ca(2+)-dependent protein kinase activity in rat brain cytosol: involvement of endogenous regucalcin.

    abstract::The effect of regucalcin, a Ca(2+)-binding protein, on Ca(2+)-dependent protein kinase activity in the brain cytosol of rats with different ages (5 and 50 weeks old) was investigated. The addition of calmodulin (10 microg/ml) or dioctanoylglycerol (5 microg/ml) in the enzyme reaction mixture caused a significant incre...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/s0361-9230(99)00184-7

    authors: Hamano T,Hanahisa Y,Yamaguchi M

    更新日期:1999-10-01 00:00:00

  • Serotonin 1B receptor regulation after dorsal subiculum deafferentation.

    abstract::The subiculum may be the key structure in the transfer of relevant processed information from the hippocampal formation to cortical areas. We investigated the location of the serotonin 1B receptor (5-HT1B) in the hippocampus with the specific ligand serotonin-O-carboxymethyl-glycyl[125I]tyrosinamide in rat brain secti...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(95)00066-n

    authors: Aït Amara D,Segu L,Naïli S,Buhot MC

    更新日期:1995-01-01 00:00:00

  • Functional symmetry of the primary visual pathway evidenced by steady-state visual evoked potentials.

    abstract::The primary visual pathway exhibits a symmetrical anatomical structure, initially arising from the left and right retinas, passing through the lateral geniculate nucleus, and finally projecting to the left and right primary visual cortices. However, to our knowledge, studies based on scalp EEG have not provided adequa...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2016.11.005

    authors: Wu Z,Wu Z

    更新日期:2017-01-01 00:00:00

  • Immunohistochemical estimation of rat brain somatostatin on avoidance learning impairment induced by thiamine deficiency.

    abstract::In rats, on the 25th day after the start of a thiamine-deficient (TD) diet, impairment of avoidance learning was significantly induced in proportion to the decrease somatostatin (SST) fluorescence intensity in the cortex, amygdala, thalamus, hypothalamus, and hippocampus, including the CA1, CA2, and dentate gyrus (DG)...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/s0361-9230(99)00201-4

    authors: Nakagawasai O,Tadano T,Niijima F,Tan-No K,Kisara K

    更新日期:2000-01-01 00:00:00

  • Effects of ovarian hormones on levels of luteinizing hormone in plasma and on serotonin concentrations in discrete brain nuclei.

    abstract::Levels of serotonin were measureed in microdissected, individual brain nuclei in ovariectomized rats after treatment with ovarian hormones. Regions sampled included nuclei in the forebrain, rostral and medial hypothalamus, and midbrain tegmentum. Estradiol benzoate decreased levels of luteinizing hormone in plasma but...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(79)90044-3

    authors: Crowley WR,O'Donohue TL,Muth EA,Jacobowitz DM

    更新日期:1979-07-01 00:00:00

  • Naltrexone induces down- and upregulation of delta opioid receptors in rat brain regions.

    abstract::Opioid antagonists such as naltrexone, naloxone, and ICI174864 induce a transient downregulation of delta opioid receptors prior to upregulation in NG108-15 cells. Here we show that naltrexone can also elicit a transient downregulation of delta 2 opioid receptors preceding upregulation in brain. A 1 h treatment of rat...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(94)90218-6

    authors: Belcheva MM,Barg J,Mchale R,Coscia CJ

    更新日期:1994-01-01 00:00:00

  • Comparison of fractal and power spectral EEG features: effects of topography and sleep stages.

    abstract::Fractal nature of the human sleep EEG was revealed recently. In the literature there are some attempts to relate fractal features to spectral properties. However, a comprehensive assessment of the relationship between fractal and power spectral measures is still missing. Therefore, in the present study we investigated...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2010.12.005

    authors: Weiss B,Clemens Z,Bódizs R,Halász P

    更新日期:2011-04-05 00:00:00

  • Hippocampal mRNA expression profiling in mice exposed to chronic unpredictable mild stress.

    abstract::Depression is a state of low mood and aversion to activity, affecting a person's thoughts, behavior, motivation, feelings and sense of well-being, which is associated with dramatical gene expression changes in hippocampus. Rodents induced by chronic unpredictable mild stress (CUMS) demonstrate typical depression-like ...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2020.06.001

    authors: Tao Y,Xie Z,Shi J,Ou R,Wu H,Shi H,Huang F,Wu X

    更新日期:2020-09-01 00:00:00

  • Dietary N-3 fatty acids inhibit ischaemic and excitotoxic brain damage in the rat.

    abstract::Arachidonic acid [20:4(N-6)] has been implicated in neurological damage induced by cerebral ischaemia. Membrane arachidonate concentrations can be reduced by changes in dietary fat intake. Therefore, in the present study, we have investigated the effects of N-3 fatty acid supplementation on neuronal damage induced by ...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(93)90180-j

    authors: Relton JK,Strijbos PJ,Cooper AL,Rothwell NJ

    更新日期:1993-01-01 00:00:00

  • The development of NADPH-diaphorase and nitric oxide synthase in the visual system of the cichlid fish, Tilapia mariae.

    abstract::The pattern of NADPH-diaphorase expression was studied in the retina and optic tectum of the cichlid fish Tilapia mariae during the first developmental stages. NADPH-diaphorase activity was seen early, at hatching. In the retina a few cell bodies of the retinal inner nuclear layer showed a faint labeling. Scattered la...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/s0361-9230(01)00451-8

    authors: Villani L,Minelli D,Giuliani A,Quaglia A

    更新日期:2001-03-15 00:00:00

  • The effect of callosotomy on testicular steroidogenesis in hemiorchidectomized rats: a pituitary-independent regulatory mechanism.

    abstract::In recent years, increasing number of data indicate that cerebral structures exert a direct, pituitary-independent, neural regulatory action on the endocrine glands. In addition, both experimental and clinical observations indicate functional asymmetry of the control system. Therefore, the objective of the present stu...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/s0361-9230(00)00337-3

    authors: Banczerowski P,Csaba Z,Csernus V,Gerendai I

    更新日期:2000-09-15 00:00:00

  • Central nervous changes in social dysfunction: autism, aggression, and psychopathy.

    abstract::Neurodevelopmental disorders such as autism and schizophrenia involve social interaction problems and poor mentalizing abilities, associated with abnormal regional cerebral activity. Similar problems may be present in aggressive personality disorders and psychopathy. This paper reviews brain imaging data from research...

    journal_title:Brain research bulletin

    pub_type: 杂志文章,评审

    doi:10.1016/j.brainresbull.2006.01.008

    authors: Anckarsäter H

    更新日期:2006-04-14 00:00:00

  • Sex-related differences in striatal dopaminergic system after traumatic brain injury.

    abstract::Several studies have demonstrated alterations in the dopamine (DA) system after traumatic brain injury (TBI). Additionally, the existence of significant sex-related differences in the dopaminergic system has long been recognized. Accordingly, the purpose of the present study was to investigate whether TBI would differ...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2016.05.010

    authors: Xu X,Cao S,Chao H,Liu Y,Ji J

    更新日期:2016-06-01 00:00:00

  • Blockade of stress-induced prolactin release in monosodium glutamate-treated rats.

    abstract::To elucidate the role of the medial basal hypothalamus (MBH) in stress-induced prolactin (Prl) release, adult male rats which had received monosodium glutamate (MSG 4 mg/g) on alternate days for the first 10 days of life were subjected to ether stress for 2 min. Blood samples were drawn at 0, 15, 30 and 60 min after e...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(83)90068-0

    authors: Mizunuma H,Khorram O,McCann SM

    更新日期:1983-01-01 00:00:00

  • Optic nerve regeneration in goldfish under light deprivation.

    abstract::Regeneration following bilateral optic nerve crush was studied in groups of goldfish housed either on a standard diurnal cycle or under total light deprivation. Unoperated fish were included in each deprivation condition. Regeneration was only slightly delayed in the surgical group housed under light deprivation (68-8...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(82)90034-x

    authors: Leitner DS,Francis A,Gazzaniga MS

    更新日期:1982-01-01 00:00:00

  • Nitric oxide pros and cons: The role of L-arginine, a nitric oxide precursor, and idebenone, a coenzyme-Q analogue in ameliorating cerebral hypoxia in rat.

    abstract::Evidence exists that nitric oxide (NO) may mediate both protective and pathological responses during brain hypoxia (HP). Reactive oxygen species have also been implicated in the pathophysiological response of the brain tissues to HP. Therefore, this study investigated whether a NO precursor, l-arginine (l-arg), a free...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2010.07.004

    authors: Abdel Baky NA,Zaidi ZF,Fatani AJ,Sayed-Ahmed MM,Yaqub H

    更新日期:2010-08-30 00:00:00

  • Role of intraamygdaloid acylated-ghrelin in spatial learning.

    abstract::According to recently published papers acylated-ghrelin (A-Ghr) modifies memory and learning. The basolateral nucleus of amygdala (ABL) participates in the regulation of memory and learning mechanisms. Previously we verified A-Ghr responsive neurons in the ABL by electrophysiological methods. In male Wistar rats effec...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2009.10.003

    authors: Tóth K,László K,Lénárd L

    更新日期:2010-01-15 00:00:00

  • Geranylgeranylacetone, an inducer of HSP 70, attenuates REM sleep rebound after sleep deprivation.

    abstract::The effect of pretreatment of geranylgeranylacetone (GGA), an inducer of heat shock protein (HSP) 70, on responses in sleep and core body temperature (Tcore) against sleep deprivation (SD) was examined in rats. After 3 days of GGA or vehicle injection, a 6-h period of SD was performed. During the recovery period, both...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2006.02.004

    authors: Wada T,Sei H,Kusumoto K,Kitaoka K,Chikahisa S,Rokutan K,Morita Y

    更新日期:2006-04-28 00:00:00

  • Temperature dependency of light adaptation in bullfrog cone photoreceptors.

    abstract::Isolated, superfused bullfrog retinas were stimulated in such a manner as to allow examination of the dynamics of the shift in the stimulus-response curve that accompanies light adaptation of cone photoreceptors. Observed phenomena were highly temperature dependent with complex Arrhenius relationships, suggesting that...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(87)90139-0

    authors: Haynes LW,Sillman AJ

    更新日期:1987-05-01 00:00:00

  • Response to commentary on evolution of slow-wave sleep and palliopallial connectivity in mammals and birds: a hypothesis.

    abstract::Mammals and birds are the only animals that exhibit high-amplitude slow-waves (SWs) in the electroencephalogram during sleep. The SWs that characterize slow-wave sleep (SWS) in mammals and birds reflect the large-scale synchronization of slow neuronal activity. In mammals, this synchronization is dependent upon the hi...

    journal_title:Brain research bulletin

    pub_type: 评论,杂志文章

    doi:10.1016/j.brainresbull.2007.02.010

    authors: Rattenborg NC

    更新日期:2007-05-30 00:00:00

  • Cellular localization of serotonin(2A) (5HT(2A)) receptors in the rat brain.

    abstract::The serotonin(2A) (5HT(2A)) receptors have been shown to play an important role in several psychiatric disorders, including depression, schizophrenia, and alcoholism. This immunohistochemical study examined the cellular localization of 5HT(2A) receptors in various rat brain structures (olfactory, striatum, cortex, hip...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/s0361-9230(99)00278-6

    authors: Xu T,Pandey SC

    更新日期:2000-04-01 00:00:00

  • Microenvironment changes in mild traumatic brain injury.

    abstract::Traumatic brain injury (TBI) is a major public-health problem for which mild TBI (MTBI) makes up majority of the cases. MTBI is a poorly-understood health problem and can persist for years manifesting into neurological and non-neurological problems that can affect functional outcome. Presently, diagnosis of MTBI is ba...

    journal_title:Brain research bulletin

    pub_type: 杂志文章,评审

    doi:10.1016/j.brainresbull.2012.01.007

    authors: Kan EM,Ling EA,Lu J

    更新日期:2012-03-10 00:00:00

  • Developmental neurotoxicity of low dose diazinon exposure of neonatal rats: effects on serotonin systems in adolescence and adulthood.

    abstract::The developmental neurotoxicity of organophosphate pesticides targets serotonin (5HT) systems, which are involved in emotional and appetitive behaviors. We exposed neonatal rats to daily doses of diazinon on postnatal days 1-4, using doses (0.5 or 2mg/kg) spanning the threshold for barely-detectable cholinesterase inh...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2007.10.008

    authors: Slotkin TA,Ryde IT,Levin ED,Seidler FJ

    更新日期:2008-03-28 00:00:00

  • Intracerebral infusion of DOPAC decreases striatal dopamine.

    abstract::The purpose of this study was to determine whether elevated levels of 3,4-dihydroxyphenylacetic acid (DOPAC), the major metabolite of dopamine (DA) in the brain, could decrease the DA content in the striatum. Levels of DA were determined by high pressure liquid chromatography with electrochemical detection (HPLC-EC) i...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/0361-9230(92)90161-p

    authors: Shiekhattar R,Ghasemzadeh MB,Adams RN

    更新日期:1992-12-01 00:00:00

  • Pig brain stereotaxic standard space: mapping of cerebral blood flow normative values and effect of MPTP-lesioning.

    abstract::The analysis of physiological processes in brain by position emission tomography (PET) is facilitated when images are spatially normalized to a standard coordinate system. Thus, PET activation studies of human brain frequently employ the common stereotaxic coordinates of Talairach. We have developed an analogous stere...

    journal_title:Brain research bulletin

    pub_type: 杂志文章

    doi:10.1016/j.brainresbull.2005.02.033

    authors: Andersen F,Watanabe H,Bjarkam C,Danielsen EH,Cumming P,DaNeX Study Group.

    更新日期:2005-07-15 00:00:00