Announcement

Collapse
No announcement yet.

? about the Bac as a cocaine anti-craving med

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

    ? about the Bac as a cocaine anti-craving med

    From this article:
    Neuropsychopharmacology - Baclofen as a Cocaine Anti-Craving Medication: A Preliminary Clinical Study

    Preclinical studies have shown that baclofen, through inhibition of somatodendritic dopamine release, prevents development of cocaine-induced behavioral sensitization and abolishes the motor-stimulant actions of cocaine (Kalivas and Steward 1991).

    I?m confused by the term ?behavioral sensitization.? I looked at about 5 different definitions/explanations for this term. It doesn't seem to make much sense to anyone, and there doesn't seem to be a standard, accepted definition. Am I missing something?

    Behavioral sensitization means that the reward escalates with use. Despite the fact that we know and other science shows, and part of the definition of abuse is that there is less reward which leads to an escalation of use. Which is one of the reasons that abuse develops.

    Also, in this paragraph it says that baclofen "abolishes the motor-stimulant actions". But later in the article it says, "Of the four patients who were asked, none experienced any subjective differences in their cocaine ?highs? while taking baclofen."

    Next is this paragraph:
    Baclofen was recently shown to attenuate [reduce the force/effect/value of] the reinforcing effects of cocaine in rats (Roberts et al. 1996). Other studies suggest that baclofen may be a fast acting treatment for the affective [related to moods, feelings and attitudes] state that occurs during cocaine abstinence (Andrews and File 1993a,b; Krupitsky et al. 1993) and, hence, may promote greater engagement in psychosocial treatment.

    "Baclofen reduces the reinforcing effects of cocaine in rats." What does that mean?

    And it positively alters mood, feelings and/or attitudes that occur during abstinence? That would allow for greater engagement in...support group type treatment?

    I can take that in a lot of directions. For instance, is it a mood elevator? It reduces bad feelings during abstinence? Is it simply that they are likely referring to an absence of craving and the abstinent cocaine-user feels better?

    #2
    ? about the Bac as a cocaine anti-craving med

    Seriously? Translation, please!?!?

    Wth does all this mean? Just the underlined parts, I suppose. (EDIT: I'm being a bit lazy, because I could look this all up. But it would be really helpful if someone could offer a quick synopsis in regular old language.)

    From this one:
    Bi-directional effects of GABA: B: receptor agonists on the mesolimbic dopamine system : Article : Nature Neuroscience
    Interestingly, different GABAB receptor agonists can exert similarly opposing effects on the reward pathway, but the cellular mechanisms involved are unknown. Here we found that the coupling efficacy (EC50) of G-protein-gated inwardly rectifying potassium (GIRK, Kir3) channels to GABAB receptor was much lower in dopamine neurons than in GABA neurons of the ventral tegmental area (VTA), depending on the differential expression of GIRK subunits. Consequently, in rodent VTA slices, a low concentration of the canonical agonist baclofen caused increased activity, whereas higher doses eventually inhibited dopamine neurons. At behaviorally relevant dosages, baclofen activated GIRK channels in both cell types, but the drug of abuse -hydroxy-butyric acid (GHB) activated GIRK channels only in GABAergic neurons. Thus GABAB receptor agonists exert parallel cellular and behavioral effects due to the cell-specific expression of GIRK subunits.

    I'm less interested in the mechanisms of the pathways (which part connects where) than I am in what it means that "it was much lower in dopamine neurons than in GABA neurons of the VTA."

    Also, in low concentration there was increased activity...higher doses inhibited dopamine neurons.

    That last seems particularly relevant to us.

    [As an aside, I happened on the rat studies from 2003/4 and reread the abstracts. I didn't know Addolorato was a part of those studies! It's hard to imagine that he didn't notice that we were doing here (and of course in other parts of the world) what he did with the rats, (HDB) and couldn't/can't do with humans. Yet. ]

    Comment


      #3
      ? about the Bac as a cocaine anti-craving med

      Ne/Neva Eva;1457679 wrote:
      And it positively alters mood, feelings and/or attitudes that occur during abstinence? That would allow for greater engagement in...support group type treatment?
      Notice that one of the references here (Krupitsky) concerns improved mood in abstinent alcoholics).

      I was going to touch on this in my run-on blathering before , but I had already wasted too much time already....Baclofen modulates Serotonin at 5-HT, so maybe it act like an AD - there are some suggestions in the literature that acute baclofen withdrawal is like (is?) serotonin syndrome: Intrathecal baclofen withdrawal resemblin... [Pediatr Emerg Care. 2008] - PubMed - NCBI and Cyproheptadine for pediatric intrathec... [Am J Phys Med Rehabil. 2007] - PubMed - NCBI
      TerryK celebrates 6 years of sobriety and indifference to alcohol thanks to baclofen

      Comment


        #4
        ? about the Bac as a cocaine anti-craving med

        Ne/Neva Eva;1457686 wrote: Wth does all this mean? Just the underlined parts, I suppose. (EDIT: I'm being a bit lazy, because I could look this all up. But it would be really helpful if someone could offer a quick synopsis in regular old language.)

        From this one:
        Bi-directional effects of GABA: B: receptor agonists on the mesolimbic dopamine system : Article : Nature Neuroscience
        Interestingly, different GABAB receptor agonists can exert similarly opposing effects on the reward pathway, but the cellular mechanisms involved are unknown. Here we found that the coupling efficacy (EC50) of G-protein-gated inwardly rectifying potassium (GIRK, Kir3) channels to GABAB receptor was much lower in dopamine neurons than in GABA neurons of the ventral tegmental area (VTA), depending on the differential expression of GIRK subunits. Consequently, in rodent VTA slices, a low concentration of the canonical agonist baclofen caused increased activity, whereas higher doses eventually inhibited dopamine neurons. At behaviorally relevant dosages, baclofen activated GIRK channels in both cell types, but the drug of abuse -hydroxy-butyric acid (GHB) activated GIRK channels only in GABAergic neurons. Thus GABAB receptor agonists exert parallel cellular and behavioral effects due to the cell-specific expression of GIRK subunits.

        I'm less interested in the mechanisms of the pathways (which part connects where) than I am in what it means that "it was much lower in dopamine neurons than in GABA neurons of the VTA."
        Nope.

        Congratulations on your 2 years. I'm getting off this thing now. -tk
        TerryK celebrates 6 years of sobriety and indifference to alcohol thanks to baclofen

        Comment


          #5
          ? about the Bac as a cocaine anti-craving med

          Thanks, Terry.

          Pffffffffft. Nope doesn't cut it. I need a way to be able to understand/communicate this. It's just time.

          I'll do some work on this today and tomorrow. And the rest of the stuff you and others posted too. Then I would imagine you can expect a barrage of questions. Sorry for your luck. :l

          Comment


            #6
            ? about the Bac as a cocaine anti-craving med

            Ne/Neva Eva;1457871 wrote: Thanks, Terry.

            Pffffffffft. Nope doesn't cut it. I need a way to be able to understand/communicate this. It's just time.

            I'll do some work on this today and tomorrow. And the rest of the stuff you and others posted too. Then I would imagine you can expect a barrage of questions. Sorry for your luck. :l
            1) I put that article in to show that baclofen and GHB work differently. GHB has low affinity for the GABAb receptor, doesn't affect dopamine neurons (directly), and is excitory at GHB receptors through glutamate production.

            2) The fact that baclofen increases dopamine release at low levels and then inhibits it at high levels isn't too important. I believe the inversion happens at a pretty low threshold, and I think that that phenomenon (of bi-phasic/paradoxical/inverse action) is not an uncommon feature among agents/drugs that act with neurotransmitters.


            -tk
            TerryK celebrates 6 years of sobriety and indifference to alcohol thanks to baclofen

            Comment

            Working...
            X