Which drugs cause cross-tolerance?
Drug classifications and cross-tolerance
Groups of psychoactive drugs | Drug examples |
---|---|
Opioid analgesics | morphine, oxycodone, heroin, fentanyl, endogenous opioids (endomorphins, enkephalins, dynorphins) |
Psychedelics | LSD, mescaline, psilocybin |
Dissociatives | PCP, ketamine |
Stimulants | Cocaine, amphetamine, methylphenidate, ephedrine |
What is cross-tolerance?
Cross-tolerance occurs when developing a tolerance for one substance leads to tolerance of another. Most cases of cross-tolerance occur with drugs in the same class that affects similar areas of the body.
What is analgesic tolerance?
Tolerance is defined as a requirement for increased doses of an opioid to achieve the same analgesic effect. In clinical practice, the development of either of these phenomena will lead to increased pain, with the usual consequence of escalating doses of opioids.
What is opioid cross-tolerance?
Cross-tolerance is the principle underlying methadone substitution in the treatment of heroin addicts. Although methadone produces opioid effects in heroin-addicted subjects, euphoria and side effects are minimized by the tolerance produced by long-term heroin exposure.
Are benzodiazepines cross-tolerance?
Tolerance and dependence can develop during chronic benzodiazepine treatment; however, cross tolerance and cross dependence to positive modulators acting at other sites on GABAA receptors might not occur.
Can you get a tolerance to Nsaids?
You may develop tolerance to the medicine. Tolerance means that you will need a higher dose of the medicine for pain relief. Tolerance is normal and is expected if you take the medicine for a long time. This medicine may cause serious skin reactions.
Can you build a tolerance to diazepam?
Researchers have found that tolerance to the sedative and anticonvulsant properties of benzodiazepines, like Valium, develops relatively quickly. Evidence of tolerance can begin to form within just a few days of continued use, though it is likely to take a few weeks in most people.
How fast does benzo tolerance go down?
Xanax Tolerance Develops Quickly With Xanax and other benzodiazepines, the sedative effects of the medication quickly decrease over two weeks of regular use. The medications interact with gamma-aminobutyric acid (GABA) receptors in the brain to increase the inhibitory effects of the GABA neurotransmitter.
How fast do you build a tolerance to Klonopin?
Klonopin tolerance develops quickly. Klonopin is used most safely as a short-term drug, and researchers express concern for patients who have been using it for more than six months. To be safe, prescriptions should be limited to one to two weeks so that dependence is less likely to occur.
Can you get a tolerance to paracetamol?
Paracetamol does not produce tolerance or dependence, though some people may develop a psychological dependence on the drug. Mixing paracetamol with other drugs Paracetamol + alcohol: regular heavy drinkers are advised to limit their use of paracetamol as it can cause severe liver damage, resulting in death.
Why do I have a high tolerance to painkillers?
In short, innate tolerance is the body’s natural response to opioid medications. Acquired tolerance, such as behavioral tolerance, can be described as a learned behavior. A person with a behavioral tolerance can still function in spite of increased doses of the drug.
What is Marlatt’s model of relapse?
The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g., high-risk situations, coping skills, outcome expectancies, and the abstinence violation effect) and covert antecedents (e.g., lifestyle factors and urges and cravings) can contribute to relapse.
Analgesic tolerance refers to the diminishing analgesic effect of an opioid because of physiological adaptation to the opioid. Analgesic tolerance is not inevitable, but it does occur. The dose of an opioid, such as morphine, typically can be increased to overcome any tolerance that may develop, as long as side effects are tolerated.
What is cross tolerance in pharmacology?
(August 2014) Cross-tolerance is a phenomenon that occurs when tolerance to the effects of a certain drug produces tolerance to another drug. It often happens between two drugs with similar functions or effects—for example, acting on the same cell receptor or affecting the transmission of certain neurotransmitters.
What is cross-tolerance to opioids?
Cross tolerance occurs when one drug produces tolerance to another drug that acts via the same biological mechanism. Although μ opioids show cross-tolerance, this is often not complete.
What is incomplete cross-tolerance?
Incomplete cross-tolerance is used clinically, an approach termed opioid rotation. When switching a tolerant patient to a new opioid, it is common practice to calculate the appropriate dose based on the tables and then reduce it by 50% or more.