Bergman J, Schuster C R
Psychopharmacology (Berl). 1985;86(3):324-7. doi: 10.1007/BF00432222.
The effects of morphine, naloxone, and nalorphine on responding maintained under a variable-interval schedule of food presentation were assessed in rhesus monkeys before and after successive periods of daily morphine maintenance (15.0 mg/kg/day SC). Withdrawal from morphine dependence was accomplished gradually following the first two maintenance periods and abruptly following the third period. Schedule-controlled responding was disrupted when morphine maintenance was abruptly discontinued but not when the maintenance dosage was gradually reduced to zero. Tolerance to the acute effects of IV morphine on responding developed during morphine maintenance and dissipated after daily injections were discontinued. The effects of IV naloxone and IV nalorphine following each period of morphine maintenance were generally similar to their effects in initial determinations. These data indicate that tolerance-producing regimens of repeated daily injections with morphine do not necessarily produce enduring changes in the effects of opiate antagonists on schedule-controlled behavior. Additionally, gradual withdrawal from morphine maintenance can minimize the behavioral disruptions that attend abrupt abstinence.
在恒河猴每日连续接受吗啡维持治疗(皮下注射15.0毫克/千克/天)之前和之后,评估了吗啡、纳洛酮和烯丙吗啡对在可变间隔食物呈现时间表下维持的反应的影响。在前两个维持期后,吗啡依赖的戒断是逐渐完成的,而在第三个维持期后则是突然完成的。当吗啡维持治疗突然停止时,时间表控制的反应受到干扰,但当维持剂量逐渐减至零时则未受干扰。在吗啡维持治疗期间,对静脉注射吗啡对反应的急性作用产生了耐受性,在每日注射停止后耐受性消失。在每个吗啡维持治疗期后,静脉注射纳洛酮和静脉注射烯丙吗啡的作用通常与其初始测定中的作用相似。这些数据表明,每日重复注射吗啡的产生耐受性的方案不一定会在阿片类拮抗剂对时间表控制行为的作用上产生持久变化。此外,逐渐停止吗啡维持治疗可以将突然戒断时出现的行为干扰降至最低。