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Vol. 287, Issue 3, 1029-1037, December 1998
Department of Pharmacology and Experimental Therapeutics, Louisiana
State University Medical Center, New Orleans, Louisiana
This study characterized discriminative stimulus and other effects of
naltrexone in rhesus monkeys treated daily with the long-acting opioid
l-alpha acetylmethadol (LAAM). An initial dose-finding study
assessed the rate-decreasing effects of naltrexone in three monkeys
receiving LAAM daily (0.32-1.78 mg/kg); subsequently, these monkeys
and a fourth received 1.0 mg/kg/12 hr of LAAM although discriminating
between naltrexone and saline. Responding occurred on the saline lever
after the administration of LAAM, whereas >90% drug-lever responding
occurred after the administration of 0.1 mg/kg of naltrexone that also
elicited signs of withdrawal. Naloxone and quadazocine, but not
morphine, nalbuphine or ketamine, substituted for naltrexone. Morphine
and nalbuphine shifted the naltrexone dose-effect curve to the right.
Compared to precipitated withdrawal, deprivation-induced withdrawal
occasioned less naltrexone-lever responding and fewer observable signs
of withdrawal. Maximal naltrexone-level responding occurred 24 to 48 hr
after the discontinuation of LAAM treatment; the frequency of other
withdrawal signs also peaked 24 to 48 hr after the discontinuation of
LAAM. Partial naltrexone-lever responding occurred for up to 10 days
after discontinuation of LAAM treatment; 4 and 8 days after the
discontinuation of LAAM treatment, 0.1 mg/kg of naltrexone did no
further increase naltrexone-lever responding or withdrawal signs
suggesting that less-then-maximal naltrexone-lever responding was not
due to long-lasting effects of LAAM or its metabolites. The
discriminative stimuli that are associated with LAAM deprivation might
be different from the stimuli associated with either training
condition. This study is the first antagonist discrimination in
non-humans primates treated chronically with LAAM and the results
indicate that the naltrexone stimulus is related to opioid withdrawal.
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