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酒精与巴比妥类药物身体依赖性的鉴别

Differentiation of alcohol and barbital physical dependence.

作者信息

Kaneto H, Kawatani S, Kaneda H

出版信息

Yakubutsu Seishin Kodo. 1986 Jun;6(2):267-73.

PMID:3776353
Abstract

In order to elucidate the fundamental differences between alcohol and barbital physical dependence, comparative studies were made on the effect of various drugs on the withdrawal signs developed in alcohol and barbital dependent mice. Ethanol, barbital and diazepam, drugs of alcohol-barbiturate type dependence liability, and ethosuximide, an anticonvulsant, suppressed both withdrawal signs in a dose dependent manner. The effects of these drugs were different from each other only quantitatively and no special difference was observed between the effects on alcohol and barbital withdrawal signs. On the other hand, the effects of phenytoin, an anticonvulsant, and pentylenetetrazol, a convulsant, were only evident in alcohol dependent animals. Phenytoin elicited body tremor and markedly exacerbated the alcohol withdrawal signs, but slightly suppressed the barbital withdrawal signs. Dose-response curves for the convulsive effect of pentylenetetrazol obtained at the peak of the withdrawal signs shifted greatly to the left in alcohol withdrawn animals but less in barbital withdrawn animals. These discrepancies between the effects on alcohol and barbital withdrawal signs may suggest a difference in the underlying mechanisms for the production of alcohol and barbital physical dependence.

摘要

为了阐明酒精和巴比妥类药物身体依赖性的根本差异,对各种药物对酒精依赖和巴比妥类药物依赖小鼠出现的戒断症状的影响进行了比较研究。乙醇、巴比妥类药物和地西泮,这几种具有酒精-巴比妥类药物类型依赖倾向的药物,以及抗惊厥药乙琥胺,均以剂量依赖的方式抑制了两种戒断症状。这些药物的作用仅在数量上有所不同,在对酒精和巴比妥类药物戒断症状的影响之间未观察到特殊差异。另一方面,抗惊厥药苯妥英和惊厥药戊四氮的作用仅在酒精依赖动物中明显。苯妥英引起身体震颤,并显著加剧酒精戒断症状,但对巴比妥类药物戒断症状的抑制作用较弱。在戒断症状高峰期获得的戊四氮惊厥作用的剂量-反应曲线在酒精戒断动物中大幅左移,而在巴比妥类药物戒断动物中左移较小。对酒精和巴比妥类药物戒断症状影响的这些差异可能表明酒精和巴比妥类药物身体依赖性产生的潜在机制存在差异。

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