Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail

Globally, millions of people suffer from various substance use disorders (SUD), including mono-and polydrug use of opioids and methamphetamine. Brain regions such as the cingulate cortex, infralimbic cortex, dorsal striatum, nucleus accumbens, basolateral and central amygdala have been shown to play...

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Main Authors: Hanis Mohammad Hazani, Isa Naina Mohamed, Mustapha Muzaimi, Wael Mohamed, Mohamad Fairuz Yahaya, Seong Lin Teoh, Rashidi Mohamed Pakri Mohamed, Mohd Fadzli Mohamad Isa, Sundus Mansoor Abdulrahman, Ravi Ramadah, Mohammad Rahim Kamaluddin, Jaya Kumar
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2022.859563/full
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author Hanis Mohammad Hazani
Isa Naina Mohamed
Mustapha Muzaimi
Wael Mohamed
Wael Mohamed
Mohamad Fairuz Yahaya
Seong Lin Teoh
Rashidi Mohamed Pakri Mohamed
Mohd Fadzli Mohamad Isa
Sundus Mansoor Abdulrahman
Ravi Ramadah
Mohammad Rahim Kamaluddin
Jaya Kumar
author_facet Hanis Mohammad Hazani
Isa Naina Mohamed
Mustapha Muzaimi
Wael Mohamed
Wael Mohamed
Mohamad Fairuz Yahaya
Seong Lin Teoh
Rashidi Mohamed Pakri Mohamed
Mohd Fadzli Mohamad Isa
Sundus Mansoor Abdulrahman
Ravi Ramadah
Mohammad Rahim Kamaluddin
Jaya Kumar
author_sort Hanis Mohammad Hazani
collection DOAJ
description Globally, millions of people suffer from various substance use disorders (SUD), including mono-and polydrug use of opioids and methamphetamine. Brain regions such as the cingulate cortex, infralimbic cortex, dorsal striatum, nucleus accumbens, basolateral and central amygdala have been shown to play important roles in addiction-related behavioral changes. Clinical and pre-clinical studies have characterized these brain regions and their corresponding neurochemical changes in numerous phases of drug dependence such as acute drug use, intoxication, craving, withdrawal, and relapse. At present, many studies have reported the individual effects of opioids and methamphetamine. However, little is known about their combined effects. Co-use of these drugs produces effects greater than either drug alone, where one decreases the side effects of the other, and the combination produces a prolonged intoxication period or a more desirable intoxication effect. An increasing number of studies have associated polydrug abuse with poorer treatment outcomes, drug-related deaths, and more severe psychopathologies. To date, the pharmacological treatment efficacy for polydrug abuse is vague, and still at the experimental stage. This present review discusses the human and animal behavioral, neuroanatomical, and neurochemical changes underlying both morphine and methamphetamine dependence separately, as well as its combination. This narrative review also delineates the recent advances in the pharmacotherapy of mono- and poly drug-use of opioids and methamphetamine at clinical and preclinical stages.
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spelling doaj.art-52e3986e37d34ac49880191b6ac807ad2022-12-21T19:20:54ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122022-04-011310.3389/fphar.2022.859563859563Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly CocktailHanis Mohammad Hazani0Isa Naina Mohamed1Mustapha Muzaimi2Wael Mohamed3Wael Mohamed4Mohamad Fairuz Yahaya5Seong Lin Teoh6Rashidi Mohamed Pakri Mohamed7Mohd Fadzli Mohamad Isa8Sundus Mansoor Abdulrahman9Ravi Ramadah10Mohammad Rahim Kamaluddin11Jaya Kumar12Department of Physiology, Faculty of Medicine, The National University of Malaysia, Cheras, MalaysiaDepartment of Pharmacology, Faculty of Medicine, The National University of Malaysia, Cheras, MalaysiaDepartment of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Kota Bharu, MalaysiaBasic Medical Science Department, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, MalaysiaFaculty of Medicine, Department of Clinical Pharmacology, Menoufia University, Shebin El-Kom, EgyptDepartment of Anatomy, Faculty of Medicine, National University of Malaysia, Cheras, MalaysiaDepartment of Anatomy, Faculty of Medicine, National University of Malaysia, Cheras, MalaysiaDepartment of Family Medicine, Faculty of Medicine, The National University of Malaysia, Cheras, MalaysiaDepartment of Psychiatry and Mental Health, Hospital Kuala Lumpur, Kuala Lumpur, MalaysiaNewcastle University Medicine Malaysia, Johor, Malaysia0National Anti-Drugs Agency Malaysia, Selangor, Malaysia1Centre for Research in Psychology and Human Well-Being, Faculty of Social Sciences and Humanities, The National University of Malaysia, Bangi, MalaysiaDepartment of Physiology, Faculty of Medicine, The National University of Malaysia, Cheras, MalaysiaGlobally, millions of people suffer from various substance use disorders (SUD), including mono-and polydrug use of opioids and methamphetamine. Brain regions such as the cingulate cortex, infralimbic cortex, dorsal striatum, nucleus accumbens, basolateral and central amygdala have been shown to play important roles in addiction-related behavioral changes. Clinical and pre-clinical studies have characterized these brain regions and their corresponding neurochemical changes in numerous phases of drug dependence such as acute drug use, intoxication, craving, withdrawal, and relapse. At present, many studies have reported the individual effects of opioids and methamphetamine. However, little is known about their combined effects. Co-use of these drugs produces effects greater than either drug alone, where one decreases the side effects of the other, and the combination produces a prolonged intoxication period or a more desirable intoxication effect. An increasing number of studies have associated polydrug abuse with poorer treatment outcomes, drug-related deaths, and more severe psychopathologies. To date, the pharmacological treatment efficacy for polydrug abuse is vague, and still at the experimental stage. This present review discusses the human and animal behavioral, neuroanatomical, and neurochemical changes underlying both morphine and methamphetamine dependence separately, as well as its combination. This narrative review also delineates the recent advances in the pharmacotherapy of mono- and poly drug-use of opioids and methamphetamine at clinical and preclinical stages.https://www.frontiersin.org/articles/10.3389/fphar.2022.859563/fulladdictiondependencepolydrugpolysubstanceopioidmethamphetamine
spellingShingle Hanis Mohammad Hazani
Isa Naina Mohamed
Mustapha Muzaimi
Wael Mohamed
Wael Mohamed
Mohamad Fairuz Yahaya
Seong Lin Teoh
Rashidi Mohamed Pakri Mohamed
Mohd Fadzli Mohamad Isa
Sundus Mansoor Abdulrahman
Ravi Ramadah
Mohammad Rahim Kamaluddin
Jaya Kumar
Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail
Frontiers in Pharmacology
addiction
dependence
polydrug
polysubstance
opioid
methamphetamine
title Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail
title_full Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail
title_fullStr Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail
title_full_unstemmed Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail
title_short Goofballing of Opioid and Methamphetamine: The Science Behind the Deadly Cocktail
title_sort goofballing of opioid and methamphetamine the science behind the deadly cocktail
topic addiction
dependence
polydrug
polysubstance
opioid
methamphetamine
url https://www.frontiersin.org/articles/10.3389/fphar.2022.859563/full
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