New insights and treatments: opiate withdrawal and cocaine addiction.

Abstract:

:Basic research in the neurosciences has led to a theory of opiate withdrawal involving endogenous opioid peptides and hyperactive norepinephrine neurons. This theory predicts the efficacy of clonidine, a nonopiate agent, in the management of opiate withdrawal. Clonidine, which offers numerous advantages over methadone as a means of opiate detoxification, may be appropriate for use by general practitioners. Clonidine-aided detoxification can be followed immediately by naltrexone maintenance, which facilitates rehabilitation. Cocaine users' reports and clinical and basic studies, when pieced together, provide an outline of the natural history of chronic cocaine abuse. How certain users become addicts is not clear, however. Additional neurochemical research and neurophysiological studies are needed for the development of nonaddictive methods of detoxification (à la clonidine) and prophylaxis (à la naltrexone). In the absence of such studies, cocaine treatment programs use the methods of Alcoholics Anonymous, contingency contracting, and inpatient therapies for addiction.

journal_name

Clin Ther

journal_title

Clinical therapeutics

authors

Gold MS,Dackis CA

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

6-21

issue

1

eissn

0149-2918

issn

1879-114X

journal_volume

7

pub_type

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    pub_type: 杂志文章

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    更新日期:2019-06-01 00:00:00