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Related Concept Videos

Drug Dependence01:17

Drug Dependence

Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
CNS Depressants: Alcohol and Nicotine01:27

CNS Depressants: Alcohol and Nicotine

Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
Drug Abuse and Addiction: Pharmacological Phenomena01:15

Drug Abuse and Addiction: Pharmacological Phenomena

Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not necessarily...
Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Depressants01:28

Depressants

Depressant drugs, including alcohol and sedative-hypnotics, diminish central nervous system activity by enhancing the action of gamma-aminobutyric acid (GABA), a neurotransmitter that reduces brain activity and promotes relaxation. These substances can have various therapeutic uses but also pose significant risks, especially when misused or combined.
Alcohol is a common depressant that can induce a sense of relaxation and reduced inhibition at low doses. Contrary to its occasional...
CNS Depressants: Barbiturates and Benzodiazepines01:14

CNS Depressants: Barbiturates and Benzodiazepines

CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...

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Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder
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Published on: June 23, 2023

Alcohol dependence, withdrawal, and relapse.

Howard C Becker1

  • 1Departments of Psychiatry and Neuroscience, Medical University of South Carolina & VA Medical Center, Charleston, South Carolina.

Alcohol Research & Health : the Journal of the National Institute on Alcohol Abuse and Alcoholism
|April 16, 2013
PubMed
Summary

Excessive alcohol consumption leads to dependence and withdrawal symptoms, increasing relapse risk. Understanding withdrawal-related anxiety and brain changes may help develop targeted medications for alcohol use disorder.

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Area of Science:

  • Neuroscience
  • Addiction Medicine
  • Psychopharmacology

Background:

  • Continued excessive alcohol consumption can cause dependence, characterized by withdrawal syndrome upon cessation.
  • Withdrawal symptoms, both physical and psychological, contribute to distress and can perpetuate alcohol abuse and relapse.
  • Alcohol dependence affects sensitivity to relapse cues and stimuli, impacting stress response systems.

Purpose of the Study:

  • To explore the relationship between alcohol withdrawal, anxiety, and relapse.
  • To investigate the neurobiological underpinnings of alcohol dependence, withdrawal, and relapse.
  • To identify potential therapeutic targets for treating alcohol use disorder.

Main Methods:

  • Review of clinical studies on alcohol dependence, withdrawal, and relapse in humans.
  • Examination of animal models of alcoholism to study withdrawal and relapse behaviors.
  • Analysis of the impact of alcohol exposure on the brain's stress response system.

Main Results:

  • Alcohol-dependent individuals and animals show heightened sensitivity to relapse triggers.
  • Withdrawal-related anxiety is a significant factor contributing to relapse.
  • Adaptive brain changes in response to alcohol affect the stress response system.

Conclusions:

  • Alcohol withdrawal, stress, and relapse are interconnected, with implications for treatment.
  • Animal models suggest that individuals with a history of alcohol dependence may respond differently to medications.
  • There is potential for developing targeted medications to manage excessive alcohol consumption and prevent relapse.