Time course of naloxone-precipitated withdrawal after acute methadone exposure in humans

M. L. Stitzer, C. Wright, G. E. Bigelow, H. L. June, L. J. Felch

Research output: Contribution to journalArticle

Abstract

This study examined naloxone-precipitated withdrawal symptoms from 24 to 168 h after pretreatment with a single 30-mg i.m. dose of methadone in 6 male subjects who were experienced users of opioid drugs but were not currently dependent. The study showed that acute physical dependence signs and symptoms could be reliably precipitated with a small dose of naloxone (0.75 mg/70 kg i.m.) for as long as 96 h (4 days) after a single dose of methadone. The intensity of symptoms at 24 h postmethadone was similar to that observed at 96 h; no precipitated withdrawal effects were observed at 168 h (7 days) after methadone administration. The magnitude of precipitated withdrawal effects at 96 h was not attenuated by the administration of a prior naloxone challenge at 24 h post-methadone. Agonist effects (pupillary constriction; subjective effects) were detectable at 24 h but not at 96 h post-methadone. The results suggest that methadone engenders long-lasting physical dependence effects that can be detected beyond the dissipation of acute agonist effects. Methadone pretreatments may provide a convenient mechanism for the production and examination of long-term μ-opiate receptor physical dependence.

Original languageEnglish (US)
Pages (from-to)39-46
Number of pages8
JournalDrug and alcohol dependence
Volume29
Issue number1
DOIs
StatePublished - Dec 1991

Keywords

  • acute physical dependence
  • methadone
  • opioids

ASJC Scopus subject areas

  • Toxicology
  • Pharmacology
  • Psychiatry and Mental health
  • Pharmacology (medical)

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