How Opioid Addiction Alters Our Brains To Always Want More

At a hearing on Capitol Hill earlier this year, U.S. Senator Lamar Alexander asked an important question: Why are most of the treatment for opioid addiction more opioids?

In response, Nora Volkow, director of the National Institute on Drug Abuse, and Walter Koroshetz, director of the National Institute of Neurological Disorders and Stroke, did their best to assure the senator – and thus the nation – that scientists are hard at work developing treatments for addicts that are not just more of the same.

Hacking the Human Brain

The hopeful news regarding the opioid crisis is that scientists are searching for promising targets in developing non-opioid treatments for addiction. For example, this year a Food and Drug Administration advisory committee voted to approve the high blood pressure medicine lofexidine as the first non-opioid medication to treat opioid withdrawal symptoms.

Earlier this year, the NIH launched an initiative called Helping to End Addiction Long-term (HEAL) that takes an important step forward in doing just that. It funds research into potential new treatments aimed at the brain reward pathway – the regions of the brain where neurons release the neurotransmitter dopamine, which gives you a jolt of pleasure, makes you feel good and signals you to repeat this pleasurable behavior in the future.

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Opioid Addiction: Humanizing A Crisis

Serious, chronic health conditions such as diabetes, heart disease, and cancer, represent just a few of the staple diagnoses in developed countries, but few are as stigmatized as addiction. The opioid epidemic is at the forefront of public health issues capturing national attention in the United States, affecting communities from Hollywood to small town USA.

The term opiate is a classification for a drug that contains the highly addictive drug opium, a narcotic derived from the Papaver somniferum poppy plant. Opioids are appealing because the user feels a great sense of euphoria, followed by both decreased pain and increased drowsiness.

Adding to the complexity of this epidemic is the availability of similar, and often illicit, drugs that produce the same euphoric feelings of prescription pain medications. The abuse of, and addiction to, illicit versions of opiates, such as heroin, is growing as regulations and costs make it more difficult to obtain legally prescribed opiates.

It makes sense, then, that the United States consumes 80% of the global opioid supply. Individuals hit hardest by this epidemic are between the ages of 25 to 54, with higher overdose rates seen in non-Hispanic whites and Native Americans or Alaskan Natives. Men die from overdoses at higher rates than women, but that gap is said to be closing.

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