Goudie A J, Leathley M J
Department of Psychology, Liverpool University, UK.
Psychopharmacology (Berl). 1995 Mar;118(1):57-64. doi: 10.1007/BF02245250.
The effect of the selective CCKB antagonist L-365, 260 on chlordiazepoxide (CDP) withdrawal-induced hypophagia was assessed in two related studies in rats pretreated for 21 days with CDP at doses escalated from 10 to 30 mg/kg per day (b.i.d). L-365, 260 was studied at doses from 0.001 to 10 mg/kg (b.i.d). There was no evidence that L-365, 260 at any dose alleviated CDP withdrawal-induced hypophagia. These data contrast with reports that CCKB antagonists alleviate behavioural benzodiazepine (BZ) withdrawal symptoms considered to be indicative of "anxiogenesis". Presumably, such positive effects of CCKB antagonists are due to "functional antagonism", with enhanced anxiety during BZ withdrawal being attenuated by anxiolytic actions of CCKB antagonists. Collectively, studies with CCKB antagonists and other agents involving a number of different BZ withdrawal signs suggest that BZ withdrawal is a heterogeneous syndrome, with various different underlying mechanisms. CCKB antagonists appear to alleviate only a subset of possible BZ withdrawal signs.
在两项相关研究中,对每天以10至30毫克/千克(每日两次)的剂量递增给予氯氮卓(CDP)预处理21天的大鼠,评估了选择性CCKB拮抗剂L-365,260对氯氮卓戒断所致摄食减少的影响。L-365,260的研究剂量为0.001至10毫克/千克(每日两次)。没有证据表明任何剂量的L-365,260能减轻氯氮卓戒断所致的摄食减少。这些数据与关于CCKB拮抗剂可减轻被认为指示“焦虑产生”的行为苯二氮卓(BZ)戒断症状的报道形成对比。据推测,CCKB拮抗剂的这种积极作用是由于“功能性拮抗”,即CCKB拮抗剂的抗焦虑作用减弱了BZ戒断期间增强的焦虑。总体而言,涉及多种不同BZ戒断体征的CCKB拮抗剂及其他药物的研究表明,BZ戒断是一种异质性综合征,具有多种不同的潜在机制。CCKB拮抗剂似乎仅能减轻部分可能的BZ戒断体征。