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Pharmacology and Pharmacokinetics of Alcohol and Opioids ...

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Pharmacodynamic interactions<br />

between methadone <strong>and</strong> alcohol<br />

• Both alcohol <strong>and</strong> opioids can sensitize ventral<br />

tegmental dopamine neurons <strong>and</strong> facilitate use<br />

<strong>of</strong> the other agent (Brodie 2002; Leite-Morris et<br />

al 2004).<br />

• Recent in vivo PET neuroimaging studies find<br />

that abstinent alcoholics show significantly<br />

elevated μ-opioid receptor availability in the<br />

ventral striatum <strong>and</strong> prefrontal cortex (Heinz et<br />

al 2005), suggesting that alcohol can increase<br />

opioid receptors.

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