Department of Neurosciences, Medical University of South Carolina, Charleston, SC 29425, USA.
Int J Neuropsychopharmacol. 2012 Aug;15(7):919-29. doi: 10.1017/S1461145711000988. Epub 2011 Jun 28.
Acute administration of the cognitive enhancing drug, modafinil (Provigil®), reduces methamphetamine (Meth) seeking following withdrawal from daily self-administration. However, the more clinically relevant effects of modafinil on Meth-seeking after chronic treatment have not been explored. Here, we determined the impact of modafinil on Meth-seeking after chronic daily treatment during extinction or abstinence following Meth self-administration. Rats self-administered intravenous Meth during daily 2-h sessions for 14 d, followed by extinction sessions or abstinence. During this period, rats received daily injections of vehicle, 30, or 100 mg/kg modafinil and were then tested for Meth-seeking via cue, Meth-primed, and context-induced reinstatement at early and late withdrawal time-points. We found that chronic modafinil attenuated relapse to a Meth-paired context, decreased conditioned cue-induced and Meth-primed reinstatement, and resulted in enduring reductions in Meth-seeking even after discontinuation of treatment. Additionally, we determined that only a very high dose of modafinil (300 mg/kg) during maintenance of self-administration had an impact on Meth intake. These results validate and extend clinical and preclinical findings that modafinil may be a viable treatment option for Meth addiction.
急性给予认知增强药物莫达非尼(Provigil®)可减少戒断后对甲基苯丙胺(Meth)的觅药行为。然而,莫达非尼在慢性治疗后对Meth 觅药行为的更具临床相关性的影响尚未得到探索。在这里,我们确定了莫达非尼在慢性每日治疗后,在Meth 自我给药后的消退或禁欲期间,对 Meth 觅药的影响。大鼠在 14 天的每天 2 小时的静脉注射 Meth 自我给药期间,随后进行消退或禁欲。在此期间,大鼠接受每日注射载体、30 或 100mg/kg 的莫达非尼,然后通过线索、Meth 启动和情境诱导复吸测试来测试 Meth 觅药。我们发现,慢性莫达非尼减弱了对 Meth 配对情境的复吸,减少了条件线索诱导和 Meth 启动的复吸,并导致 Meth 觅药的持久减少,即使在停止治疗后也是如此。此外,我们确定只有在维持自我给药期间使用非常高剂量的莫达非尼(300mg/kg)才会影响 Meth 的摄入量。这些结果验证并扩展了临床和临床前的发现,即莫达非尼可能是治疗 Meth 成瘾的一种可行选择。