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Repeated administration of flumazenil does not alter its potency in modifying schedule-controlled behavior in
1Department of Pharmacology, Louisiana State University Medical Center, New Orleans 70119, USA.
Abstract:
Previous reports have suggested that the effects of the benzodiazepine antagonist flumazenil diminish over repeated exposure in subjects treated chronically with a benzodiazepine agonist. The current study examined whether the frequency of exposure to flumazenil altered its potency in decreasing rates of responding in monkeys treated with chlordiazepoxide (CDP). Three monkeys responded under a multiple fixed ratio (FR10:FR10) schedule of food presentation and stimulus-shock termination (SST). In untreated monkeys, flumazenil (0.1-3.2 mg/kg) had no effect in either component. After 2 weeks of treatment with 32.0 mg/kg per day of CDP, flumazenil decreased response rates in the food component, with a dose of 3.2 mg/kg decreasing rates to 10% of control; rates in the SST component were not altered by flumazenil. When flumazenil dose-effect curves were redetermined at 28-, 14-, 7-, 4-, 2- or 1-day intervals, there was no further change in the potency of flumazenil in decreasing food-maintained responding. When CDP treatment was terminated, the potency of flumazenil recovered to pre-CDP values within 23 days. These results suggest that dependence develops to CDP, since changes in the potency of flumazenil co-varied with CDP treatment. Moreover, it does not appear as though results from previous reports, that showed a diminished response to frequently-administered flumazenil, can be generalized to all conditions.
Insights
Repeated exposure to chlordiazepoxide (CDP) dependence in monkeys led to changes in flumazenil potency. Flumazenil
Area of Science:
- Pharmacology
- Neuroscience
- Behavioral Science
Background:
- Benzodiazepine agonists, like chlordiazepoxide (CDP), are commonly prescribed medications.
- Benzodiazepine antagonists, such as flumazenil, are used to reverse benzodiazepine effects.
- Previous research indicated diminished flumazenil effects with repeated exposure during chronic benzodiazepine treatment.
Purpose of the Study:
- To investigate if flumazenil exposure frequency impacts its potency in reducing response rates.
- To examine flumazenil's effects in monkeys treated with the benzodiazepine agonist chlordiazepoxide (CDP).
Main Methods:
- Three monkeys were trained on a multiple fixed ratio (FR10:FR10) schedule for food and stimulus-shock termination (SST).
- Flumazenil dose-effect curves were determined in untreated and CDP-treated monkeys.
- Flumazenil potency was re-evaluated at various intervals during chronic CDP treatment and after its termination.
Main Results:
- In untreated monkeys, flumazenil had no significant effect on response rates.
- After chronic CDP treatment, flumazenil decreased food-maintained responding but not SST responding.
- Flumazenil potency did not change with varying exposure frequencies during CDP treatment; it recovered after CDP withdrawal.
Conclusions:
- Dependence on chlordiazepoxide (CDP) was suggested by the observed changes in flumazenil potency.
- The diminished flumazenil response reported in prior studies may not apply universally.
- Flumazenil's efficacy is influenced by the presence and duration of benzodiazepine agonist treatment.
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