Negus S Stevens
Alcohol and Drug Abuse Research Center, Harvard Medical School, McLean Hospital, 115 Mill St., Belmont, MA 02478, USA.
Psychopharmacology (Berl). 2005 Jun;180(1):115-24. doi: 10.1007/s00213-004-2133-y. Epub 2005 Feb 5.
Concurrent abuse of cocaine and heroin is a common form of polydrug abuse, but the interactions between the reinforcing effects of cocaine and heroin are poorly understood. Dose-addition analysis is a tool for the quantitative assessment of drug interactions, but this analysis has not been applied to evaluation of the reinforcing effects of cocaine and heroin.
To evaluate interactions between the reinforcing effects of cocaine and heroin using dose-addition analysis.
Rhesus monkeys were trained under a concurrent-choice schedule of food delivery (1 gm pellets) and drug injections (cocaine or heroin, 0-0.1 mg kg(-1) injection(-1)). Full dose-effect curves were determined for cocaine alone and heroin alone. Subsequently, full dose-effect curves were determined for three fixed-proportion mixtures of cocaine and heroin (fixed proportions of 1:3.2, 1:1 and 3.2:1 cocaine/heroin). Dose-addition analysis was used to assess whether cocaine/heroin interactions were super-additive, additive, or sub-additive.
Cocaine, heroin, and all cocaine/heroin mixtures maintained dose-dependent and monotonic increases in drug choice and dose-dependent decreases in response rates. Choice dose-effect curves for cocaine/heroin mixtures were shifted to the left of dose-effect curves for cocaine or heroin alone, and dose-addition analysis indicated that cocaine/heroin interactions on drug choice were sub-additive or additive. Cocaine/heroin interactions on response-rate measures were also sub-additive or additive.
These results confirm that mixtures of cocaine and heroin produce reinforcing effects in rhesus monkeys; however, cocaine/heroin interactions were only or sub-additive or additive. Thus, these results do not support the hypothesis that simultaneously delivered cocaine and heroin produces super-additive reinforcing effects.
可卡因和海洛因的同时滥用是多药滥用的常见形式,但可卡因和海洛因强化作用之间的相互作用却鲜为人知。剂量相加分析是一种用于定量评估药物相互作用的工具,但该分析尚未应用于评估可卡因和海洛因的强化作用。
使用剂量相加分析评估可卡因和海洛因强化作用之间的相互作用。
恒河猴在食物递送(1克颗粒)和药物注射(可卡因或海洛因,0 - 0.1毫克/千克注射量)的同时选择方案下接受训练。分别确定单独使用可卡因和单独使用海洛因的完整剂量 - 效应曲线。随后,确定三种固定比例的可卡因和海洛因混合物(可卡因/海洛因固定比例为1:3.2、1:1和3.2:1)的完整剂量 - 效应曲线。使用剂量相加分析来评估可卡因/海洛因相互作用是超相加、相加还是次相加。
可卡因、海洛因以及所有可卡因/海洛因混合物在药物选择上均维持剂量依赖性和单调增加,在反应率上维持剂量依赖性降低。可卡因/海洛因混合物的选择剂量 - 效应曲线相较于单独使用可卡因或海洛因的剂量 - 效应曲线向左偏移,剂量相加分析表明,可卡因/海洛因在药物选择上的相互作用是次相加或相加的。可卡因/海洛因在反应率测量上的相互作用也是次相加或相加的。
这些结果证实,可卡因和海洛因的混合物在恒河猴中产生强化作用;然而,可卡因/海洛因的相互作用仅是次相加或相加的。因此,这些结果不支持同时给予可卡因和海洛因会产生超相加强化作用的假设。