Abstract
Acute tolerance, defined as a decreasing drug effect relative to drug-plasma levels (DPL) over a period of minutes to a few hours, is pronounced following single doses of diazepam or pentobarbital. Both of these lipid-soluble drugs produce an early peak behavioral impairment and subsequent rapid recovery component that is followed by a much slower blood-drug rise time. These pronounced early peak effects were not shared by alcohol, and contribute significantly to the lack of correlation between impairment and DPL.
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References
Bliding A (1974) Effects of different rates of absorption of two benzodiazepines on subjective and objective parameters. Eur J Clin Pharmacol 7:201–211
Brodie BB, Burns JJ, Mark LC, Lief PA, Bernstein E, Papper EM (1953) The fate of pentobarbital in man and dog and a method for its estimation in biological material. J Pharmacol Exp Ther 109:26–34
Clayton AB (1980) Effects of alcohol on driving skills. In: Sandler M (ed) Psychopharmacology of alcohol. Raven, New York, pp 73–78
Crone C (1965) The permeability of the brain capillaries due to nonelectrolites. Acta Physiol Scand 64:407–417
Curry SH, Norris H (1970) Acute tolerance to a sedative in man. Br J Pharmacol 38:450–451
Ellinwood Jr EH, Linnoila M, Angle HV, Moore JW, Skinner JT, Molter DW (1980) Use of simple tasks to test for impairment of complex skills by a sedative. Psychopharmacology 73:350–354
Fischer E, Wallgren H (1957) Cerebral blood flow and cerebral alcohol uptake of anaesthetized dogs. Physiologist 1:27–28
Franks HM, Hensley VA, Khensley WJ, Starmer GA, Teo RKC (1976) The relationship between alcohol dosage and performance decrement in humans. J Stud Alcohol 37:284–297
Grizzle JE, Allen DM (1969) Analysis of growth and dose-response curves. Biometrics 25:357–381
Hurst PM, Bagley SA (1972) Acute adaptation to the effects of alcohol. Q J Stud Alcohol 33:358–378
Jones BM, Vega A (1972) Cognitive performance measured on the ascending and descending limb of the blood alcohol curve. Psychopharmacology 23:99–114
Kalant H (1978) Behavioral criteria for tolerance and physical dependence. In: Fishman J (ed) The bases of addition. Dahlem Konferenzen, Berlin, pp 199–220
Kalant H, LeBlanc AE, Gibbons RJ (1971) Tolerance to, and dependence on some non-opiate psychotropic drugs. Pharmacol Rev 23:135–191
Leeb-Lundberg F, Snowman A, Olsen RW (1980) Barbiturate receptor sites are coupled to benzodiazepine receptors. Proc Natl Acad Sci USA 77:7468–7472
Linnoila M, Dorrity F (1977) Rapid gas-chromatographic assay of serum diazepam, N-desmethyldiazepam, and N-desalkylflurazepam. Acta Pharmacol Toxicol (Copenh) 41:458–464
MacLeod SM, Giles HG, Patzalek G, Thiessen JJ, Sellers EM (1977) Diazepam actions and plasma concentrations following ethanol ingestion. Eur J Clin Pharmacol 11:345–349
Mark LC, Burns JJ, Brand L, Campomanes CI, Trousof N, Papper EM, Brodie BB (1958) The passage of thiobarbiturates and their oxygen analogs into brain. J Pharmacol Exp Ther 123:70–73
Maynert EW, Klingman GI (1960) Acute tolerance to intravenous anesthetics in dogs. J Pharmacol Exp Ther 128:192–200
Mellanby E (1919) Alcohol: Its absorption into and disappearance from the blood under different conditions. G B Med Res Council Spec Rep Ser 31:1–48
Morrison DF (1976) Multivariate statistical methods. McGraw Hill, New York, pp 128–169
Palva ES, Linnoila M (1978) Effect of active metabolites of chlordiazepoxide and diazepam, alone or in combination with alcohol, on psychomotor skills related to driving. Eur J Clin Pharmacol 13:345–350
Paul SM, Marangos PJ, Skolnick P (1981) The benzodiazepine-GABA-chloride ionophere receptor complex: Common site of minor tranquilizer action. Biol Psychiatry 16:213–229
Paul SM, Skolnick P (1978) Rapid changes in brain benzodiazepine receptors after experimental seizures. Science 202:892–893
Reggiani A, Barbaccia ML, Spano PF, Trabucchi M (1980) Acute and chronic ethanol administration of specific 3H-GABA binding in different rat brain areas. Psychopharmacology 67:261–264
Sellers EM (1978) Additive drugs: Dispositional tolerance and dependence interrelationships. Drug Metab Rev 8:5–11
Spirt MM, Bautz G, Zanko M, Horst WD, O'Brien RA (1981) Comparative receptor binding effects in brain after IV lorazepam and diazepam. Neurosci Abstr 7:865
US Department of Transportation (1981) Marijuana and other drugs and their relationship to highway safety: A report to congress. US Government Printing Office, Washington, USA
Wahlstrom G, Widerlov E (1971) Interaction and acute cross tolerance between ethanol and hexobarbitone in the rat. J Pharm Pharmacol 23:58–60
Wilkinson PK, Sedman AJ, Sakmar E, Kay DR, Wagner JG (1977) Pharmacokinetics of ethanol after oral administration in the fasting state. J Pharmacokinet Biopharm 5:207–224
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Ellinwood, E.H., Linnoila, M., Easler, M.E. et al. Profile of acute tolerance to three sedative anxiolytics. Psychopharmacology 79, 137–141 (1983). https://doi.org/10.1007/BF00427800
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DOI: https://doi.org/10.1007/BF00427800