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9.3 - Drug Use, Addiction, Tolerance, Withdrawal and Relapse

from 9 - Integrated Neurobiology of Specific Syndromes and Treatments

Published online by Cambridge University Press:  08 November 2023

Mary-Ellen Lynall
Affiliation:
University of Cambridge
Peter B. Jones
Affiliation:
University of Cambridge
Stephen M. Stahl
Affiliation:
University of California, San Diego
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Summary

Occasional or ‘recreational’ use of drugs of abuse may result in pleasurable effects such as euphoria and reduced anxiety. Regular use leads to dependence and addiction through a series of steps. Initial drug-seeking behaviour and positive reinforcement increase use and cause neural adaptations. Adaptations in key parts of the brain manifest as tolerance, where more drug is required to achieve the same effects, and to withdrawal in the absence of the drug. With repetitive use comes attribution of salience to the drug. Associated environmental items become conditioned stimuli that drive further, repetitive drug-seeking behaviour.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2023

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References

World Health Organization. International Classification of Diseases, 11th ed. (ICD-11). World Health Organization, 2018.Google Scholar
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5). American Psychiatric Association, 2013.Google Scholar
Koob, GF, Volkow, ND. Neurobiology of addiction: a neurocircuitry analysis. Lancet Psychiatry 2016; 3(8): 760–73.CrossRefGoogle ScholarPubMed
Adinoff, B. Neurobiologic processes in drug reward and addiction. Harv Rev Psychiatry 2004; 12(6): 305320.CrossRefGoogle ScholarPubMed
Baler, RD, Volkow, ND. Drug addiction: the neurobiology of disrupted self-control. Trends Mol Med 2006; 12(12): 559566.CrossRefGoogle ScholarPubMed
Berridge, KC, Kringelbach, ML. Pleasure systems in the brain. Neuron 2015; 86(3): 646664CrossRefGoogle ScholarPubMed
Reid, A, Lingford-Hughes, A. Neuropharmacology of addiction. Psychiatry 2006; 5(12): 449454.CrossRefGoogle Scholar
Nutt, DJ, Lingford-Hughes, A, Eritzoe, D, Stokes, PR. The dopamine theory of addiction: 40 years of highs and lows. Nat Rev Neurosci 2015; 16(5): 305312.CrossRefGoogle Scholar
Turton, S, Lingford-Hughes, A. Neurobiology and principles of addiction and tolerance. Alcohol Other Drug Disord 2020; 48(12): 749753.Google Scholar
Koob, GF, Volkow, ND. Neurocircuitry of addiction. Neuropsychopharmacology 2010; 35(1): 217238.CrossRefGoogle ScholarPubMed
Hoffman, PL, Rabe, CS, Grant, KA et al. Ethanol and the NMDA receptor. Alcohol 1990; 7(3): 229231.CrossRefGoogle ScholarPubMed
Lingford-Hughes, A, Watson, B, Kalk, N, Reid, A. Neuropharmacology of addiction and how it informs treatment. Br Med Bull 2010; 96(1): 93110.CrossRefGoogle ScholarPubMed
Lobo, IA, Harris, RA. GABAA receptors and alcohol. Pharmacol Biochem Behav 2008; 90(1): 9094.CrossRefGoogle ScholarPubMed
Nutt, DJ, Nestor, LJ. Addiction (Oxford Psychiatry Library). Oxford University Press, 2018.CrossRefGoogle Scholar

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