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Vol. 300, Issue 3, 1111-1121, March 2002
Alcohol and Drug Abuse Research Center of McLean Hospital at
Harvard Medical School, Belmont, Massachusetts
µ-Opioid agonists decrease cocaine self-administration in laboratory
studies and cocaine use by many cocaine- and opioid-dependent polydrug
abusers. To assess the role of µ-agonist efficacy as a determinant of
these effects, this study evaluated cocaine- and food-maintained
responding by rhesus monkeys (Macaca mulatta) during
chronic treatment with saline or the high-efficacy µ-agonist fentanyl
(0.001-0.01 mg/kg/h), the intermediate-efficacy µ-agonist morphine
(0.032-0.32 mg/kg/h), or the low-efficacy µ-agonists nalbuphine
(0.1-1.0 mg/kg/h) and butorphanol (0.0032-0.032 mg/kg/h). Responding
was maintained by cocaine and food under a second order schedule of
reinforcement during multiple daily sessions of cocaine and food
availability. Saline and each opioid dose were administered continuously for 7 consecutive days during availability of each cocaine
dose. All four µ-agonists produced dose-dependent and sustained
decreases in cocaine self-administration across a range of cocaine
doses (0.0032-0.1 mg/kg/injection). Nalbuphine and butorphanol
produced the greatest decreases in cocaine self-administration and the
smallest effects on food-maintained responding. Morphine and fentanyl
produced smaller decreases in cocaine self-administration, and
undesirable effects precluded evaluation of higher fentanyl and
morphine doses. Decreases in cocaine self-administration produced by
nalbuphine and butorphanol probably did not reflect a general blockade
of cocaine's abuse-related effects, because nalbuphine and butorphanol
did not block the discriminative stimulus effects of cocaine in monkeys
trained to discriminate 0.4 mg/kg cocaine from saline in a
food-reinforced drug discrimination procedure. These results suggest
that low-efficacy µ-agonists may decrease cocaine self-administration
to a greater degree and with fewer undesirable effects than
high-efficacy µ-agonists.
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