Menstrual cycle phase and responses to drugs of abuse in humans
Abstract
Researchers have recently become aware of the importance of including women in research, including drug abuse research. With this increased awareness has come an increased scientific interest in the potential influence of menstrual cycle phase on responses to drugs. In this review, we discuss recent studies that have examined subjective and physiological responses to drugs of abuse in relation to menstrual cycle phase. With most of the drugs reviewed, including alcohol, benzodiazepines, caffeine, marijuana, nicotine and opioids, responses to the drugs were not different were inconsistent across cycle phases. However, with psychomotor stimulant drugs, such as amphetamine and cocaine, responses to the drugs were greater during the follicular, compared to the luteal, phase of the cycle. These findings suggest that, consistent with certain pre-clinical findings, circulating levels of ovarian hormones influence the central effects of stimulant drugs in women. With other drugs, the evidence to date suggests that ovarian hormones have modest, if any, effects on responses to abused drugs. We discuss methodological issues relating to inclusion of women with regular menstrual cycles.
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During periods of low oestrogen, increased ADHD symptoms and decreased response to psychostimulant medication have been described.
“Additionally, during periods of low oestrogen, increased ADHD symptoms [30,41,91,92] and decreased response to psychostimulant medication [25,42,93,94,95] have been described.”
From A Female-Specific Treatment Group for ADHD—Description of the Programme and Qualitative Analysis of First Experiences (2024) · cites this paper as [93]
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- Authors
- Terner, J. M., & de Wit, H.
- Affiliations
- University of Chicago (US)
- Corresponding author
- Terner, Jolan M.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 84
- Issue
- 1
- Pages
- 1-13
- ISSN
- 0376-8716 (ISSN-L)
- OpenAlex
- W1978652575
- Cited by
- 190
- References
- 87
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 8 · 2021: 9 · 2020: 14 · 2019: 8 · 2018: 6 · 2017: 10 · 2016: 7 · 2015: 20 · 2014: 9 · 2013: 8 · 2012: 5
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (T32-DA07255, DA 02812, R01DA002812, T32DA007255)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Menstrual Health and Disorders
- Keywords
- menstrual cycle phases, ovarian hormones, drug abuse, psychostimulants, amphetamine, cocaine, alcohol, benzodiazepines, caffeine, cannabis, nicotine, opioids, follicular phase, luteal phase
- MeSH terms
- Central Nervous System Stimulants, Female, Humans, Menstrual Cycle, Substance-Related Disorders
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