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Biological consequences of drug administration: Implications for acute and chronic tolerance
Abstract
The authors presented a model that extrapolates the biological consequences of drug administration to account for acute and chronic tolerance. Drug-induced changes of regulated parameters provide detectable perturbations to which the brain responds. With experience, these centrally mediated responses are learned and can be activated in the absence of the drug-induced perturbation. Although neural responses following drug administration are often obscured, the model shows how these responses may be identified and provides a reinterpretation of drug conditioning paradigms. The authors made comparisons between the present empirical model of drug administration and existing theories of drug tolerance. The authors also presented a unified framework for understanding the consequences of repeated drug use and made specific predictions as to the relationships among acute and chronic tolerance, drug sensitization, and individual differences in vulnerability to drug addiction.
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“Tolerance, a diagnostic criteria for AUD from DSM-III (1980) to DSM-5 (2013)(8), implies that attenuation of subjective alcohol responses over time plays a key role in the development of addiction.”
From A Prospective 5-Year Re-examination of Alcohol Response in Heavy Drinkers Progressing in Alcohol Use Disorder (2016) · cites this paper as [7]
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Metadata
- Authors
- Ramsay, D. S., & Woods, S. C.
- Affiliations
- University of Washington (US)
- Venue
- Psychological Review
- Published
- 1997-01
- Volume
- 104
- Issue
- 1
- Pages
- 170-193
- ISSN
- 0033-295X (ISSN-L)
- 1939-1471
- OpenAlex
- W1980751644
- Cited by
- 155
- References
- 149
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2021: 3 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 1 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 5 · 2012: 2
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Review (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (R29DA007391, DA 07391)
- National Institute of Dental and Craniofacial Research (DE-00379, K16DE000161, DE 00161)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- drug tolerance, acute tolerance, drug sensitization, drug conditioning, drug addiction vulnerability, individual differences
- MeSH terms
- Animals, Brain, Conditioning, Classical, Drug Tolerance, Humans, Substance-Related Disorders
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