Alcohol and Opioid Addiction-Scope, Mechanisms and Treatment Strategies

A special issue of Biomedicines (ISSN 2227-9059).

Deadline for manuscript submissions: closed (31 August 2018) | Viewed by 21383

Special Issue Editor


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Guest Editor
Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN 55108, USA
Interests: nanoparticle synthesis; nanomedicine; nanotoxicology; alcoholism; withdrawal syndrome; inflammation; oxidative stress; puerarin; curcumin; neurotoxicity
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Special Issue Information

Dear Colleagues,

Alcohol and opioid (such as heroin, morphine, and prescription pain relievers) abuses are serious global problems affecting the health, social, and economic welfare of all societies. In the United States, approximately 15.1 million adults ages 18 and older suffer alcohol abuse disorder. This includes 9.8 million men and 5.3 million women. It is also estimated that between 26.4 to 36 million people abuse opioids worldwide, of which an estimated 2.1 million people reside in the United. A unique aspect of alcoholism and opioid addiction is their comorbidity. People addicted to opioids often abuse alcohol and, concomitantly, alcoholics are more susceptible to abusing recreational or prescription opioids. Alcohol, when taken with opioids, increases central nervous system depression, thus increasing the risk for overdose. According to a report from Food Drug Administration (FDA), alcohol was involved in (i) 18.5% of opioids and 27.2% of benzodiazepine drug abuse-related Emergency visits and (ii) 22.1% of OPR and 21.4% of benzodiazepine drug-related deaths. These findings substantiate the contention that alcohol plays a significant role in opioid abuse and vice versa. Although mechanisms underlying the alcohol-opioid comorbidity is not fully understood, alcohol and opioids both may activate opioid receptors, inhibit GABA and dopamine signaling, and activate glutamate receptors. An understanding of the precise mechanisms of alcoholism and opioid addiction will help develop interventions to reduce the abuse of alcohol and opioids alone and in combination. Therefore, the aim of this Special Issue is to publish manuscripts in different aspects of alcoholism and opioid addiction. In general, manuscripts related to the following topics are being solicited.

  • Global prevalence of alcoholism and opioid addiction
  • Multifaceted mechanisms of alcohol and opioid addictions.
  • Opioid-ethanol interaction: socio-psychological, mechanistic, addictive and clinical studies.
  • Metabolism, pharmacokinetics and pharmacodynamics of ethanol and opioids (external and/or internal peptides), alone or in combination.
  • Current and future therapeutic (pharmacological, genomic, genetic, nano-therapeutic and stem cell mediated therapy) strategies against alcoholism and opioid addiction.
  • Other topics related to addiction mechanisms and therapeutics.

Dr. Ashok K. Singh
Guest Editor

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Keywords

  • Alcoholism
  • opioids
  • addiction
  • comorbidity
  • opioid-ethanol interaction
  • socio-psychology
  • pharmacotherapy
  • gene therapy
  • stem cells
  • brain mechanisms
  • pharmacokinetics

Published Papers (1 paper)

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Review

31 pages, 6015 KiB  
Review
Alcohol Interaction with Cocaine, Methamphetamine, Opioids, Nicotine, Cannabis, and γ-Hydroxybutyric Acid
by Ashok K. Singh
Biomedicines 2019, 7(1), 16; https://doi.org/10.3390/biomedicines7010016 - 07 Mar 2019
Cited by 24 | Viewed by 20797
Abstract
Millions of people around the world drink alcoholic beverages to cope with the stress of modern lifestyle. Although moderate alcohol drinking may have some relaxing and euphoric effects, uncontrolled drinking exacerbates the problems associated with alcohol abuse that are exploding in quantity and [...] Read more.
Millions of people around the world drink alcoholic beverages to cope with the stress of modern lifestyle. Although moderate alcohol drinking may have some relaxing and euphoric effects, uncontrolled drinking exacerbates the problems associated with alcohol abuse that are exploding in quantity and intensity in the United States and around the world. Recently, mixing of alcohol with other drugs of abuse (such as opioids, cocaine, methamphetamine, nicotine, cannabis, and γ-hydroxybutyric acid) and medications has become an emerging trend, exacerbating the public health concerns. Mixing of alcohol with other drugs may additively or synergistically augment the seriousness of the adverse effects such as the withdrawal symptoms, cardiovascular disorders, liver damage, reproductive abnormalities, and behavioral abnormalities. Despite the seriousness of the situation, possible mechanisms underlying the interactions is not yet understood. This has been one of the key hindrances in developing effective treatments. Therefore, the aim of this article is to review the consequences of alcohol’s interaction with other drugs and decipher the underlying mechanisms. Full article
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