Cited by 16Opioid Use Disorder TreatmentSubstance Abuse Treatment and OutcomesPharmaceutical Practices and Patient Outcomes

Addiction and physical dependence are not the same thing

Open access
Horowitz, Mark Abie, Taylor, David·2023·The Lancet Psychiatry

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Crossref · 10.1016/s2215-0366(23)00230-4

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  • In basic pharmacology and addiction medicine, neurophysiological adaptations are typically defined as physical dependence, and a withdrawal syndrome upon dose reduction or treatment discontinuation is its sole clinical manifestation.

    “In basic pharmacology and addiction medicine, these neurophysiological adaptations are typically defined as physical dependence (no to be confused with addiction) and a withdrawal syndrome upon dose reduction or treatment discontinuation is its sole clinical manifestation (Horowitz et al., 2023; Horowitz and Taylor, 2023; Lerner and Klein, 2019).”
  • Severe withdrawal from physical dependence alone does not imply addiction.

    “Severe withdrawal from physical dependence alone does not imply addiction.”

    From Pharmacological principles for safe benzodiazepine and Z-drug dose reduction (2026) · cites this paper as Horowitz & Taylor, 2023

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References 4 · Cited by 16

Authors
Horowitz, M. A., & Taylor, D.
Affiliations
  • North East London NHS Foundation Trust (GB)
  • King's College London (GB)
Corresponding author
Horowitz, Mark Abie
Venue
The Lancet Psychiatry
Publisher
Elsevier BV
Published
2023-08
Volume
10
Issue
8
Pages
e23
ISSN
2215-0366 (ISSN-L)
OpenAlex
W4385064166
Cited by
16
References
4
Citations by year
2026: 4 · 2025: 7 · 2024: 5
FWCI
4.11
Type
journal article
Language
en
Open access
Locations
  • The Lancet Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
addiction, physical dependence, terminology, drug prescribing, NHS England
MeSH terms
Humans, Behavior, Addictive, Substance-Related Disorders

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