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DRUG TOLERANCE: Proglumide and CCKa/b antagonism-The key to sensitization/tolerance

polarbearsarecool

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Cholecystokinin (CCK) is an abundant and widely distributed neuropeptide that plays a modulatory role in a variety of behaviours including noiception, anxiety, memory, hunger

CCK has two main subtype receptors CCKa(primarily GI tract, less CNS) and CCKb(primarily CNS, less GI)

CCK is coupled with dopamine in neurons In many areas where CCK is colocalized with DA, the concentration of CCK is more than an order of magnitude greater than the concentration of DA (Rotzinger, Vaccarino)

CCK is coreleased with DA at high frequency firing rates, allowing the possibility of modulating DA function, but only under conditions that lead to this high frequency firing. (Rotzinger, Vaccarino)

CCK is colocalized with DA in most VTA cell bodies and terminals containing both CCK and DA are present in the Nacc (Rotzinger, Vaccarino)

The release is apparently coupled in the reward pathway and with drugs of abuse CCK acts competitively with dopamine, it has even been shown that drugs of abuse increase concentrations of CCK, namely in chronic users

So drugs of abuse cause epigenetic changes regarding CCK transcription(higher levels CCK, more DA competition)?



However, Proglumide a CCKb/a (mainly b) ANTAGONIST, blocks CCK binding thus stopping CCK's competitive inhibition of DA and sensitization on the reward pathway.


My question is regarding proglumide and amphetamine/psychadelics, CCK appears to be one of the first and major steps/cycles in the reward pathway.

My guess? Usage of proglumide doesn't stop/slow just opiate tolerance, but psychadelic and amphetamine tolerance by blocking the epigenetic changes drugs of abuse induce on the reward pathway.

Has any usage of well below recreational opiate level dosage( 100-300mg) been done in amounts of 10-50mg for a week? Or the usage of proglumide ~20mins before a psychadelic/amphetamine? Will there be added opiate receptor fog from proglumide, or does it's complementary abilities not work well on its own? If cycled could proglumide work? obviously the body builds a tolerance to it but...


Why is there no information on studies being done or human reports of this nature or of the combination of proglumide/something besides opiates? I cannot find any atypical studies, some show that CCK attenuates amphetamine responses, but it's not enough..

I also feel as if proglumide will attenuate modafinil tolerance.


"Stress exposure is known to cross-sensitize with psychostimulant administration, and CCK-A antagonists also attenuate the exaggerated (sensitized) locomotor response to amphetamine in rats that have been chronically restrained. This finding further suggests that CCK may play a common modulatory role in both the response to chronic stress and the response to chronic psychostimulants. CCK-A receptors appear to be involved only in the expression of sensitized behaviour, however, and not in its development." (Rotzinger, Vaccarino)

(more in pdf attached)


FULL PDF:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC161741/




Polarbears
 
Very interesting, any mention of the epigenetic mechanisms involved? I hate to be that guy, but I can't access the full texts off campus.
 
I will try to locate the texts tomorrow but tomorrow I am also going to attempt 10-50mg proglumide and 200-400mg of modafinil in an attempt to test the effects
 
CCK is colocalized with DA in most VTA cell bodies and terminals containing both CCK and DA are present in the Nacc (Rotzinger, Vaccarino)

My question is regarding proglumide and amphetamine/psychadelics, CCK appears to be one of the first and major steps/cycles in the reward pathway.

My guess? Usage of proglumide doesn't stop/slow just opiate tolerance, but psychadelic and amphetamine tolerance by blocking the epigenetic changes drugs of abuse induce on the reward pathway.

Why is there no information on studies being done or human reports of this nature or of the combination of proglumide/something besides opiates? I cannot find any atypical studies, some show that CCK attenuates amphetamine responses, but it's not enough..

Polarbears

Well, my guess would be that the effects of CCK antagonists is different on opioids vs stimulants because of the mechanism of action.

For opioids, the mechanism is inhibitory GPCRs located on GABA-ergic interneurons in the VTA. So, opioid agonist activity decreases inhibitory interneuron firing, which dis-inhibits dopamine cells in the VTA. This disinhibition leads to the sustained firing rates necessary to release CCK. So, because the level of action is on the dopamine VTA neurons, opioids will probably cause increased release of CCK.

Now, take cocaine for example. It is a dopamine reuptake inhibitor (mostly), and so it increases dopamine levels in the nucleus accumbens by blocking the local reuptake of dopamine. In fact, I looked and it seems as though cocaine administration decreases VTA dopamine cell firing rate. Therefore, cocaine administration would probably decrease the amount of CCK released because of reduced stimulation of VTA dopamine cells.

Now, this is all just my best guess, but it might help explain some of the differences, at least between opioids and cocaine (not sure about psychedelics or dopamine-releasing agents). That basically, CCK antagonists will only work if said drug can sufficiently stimulate VTA dopamine neurons to release CCK.
 
Well, my guess would be that the effects of CCK antagonists is different on opioids vs stimulants because of the mechanism of action.

For opioids, the mechanism is inhibitory GPCRs located on GABA-ergic interneurons in the VTA. So, opioid agonist activity decreases inhibitory interneuron firing, which dis-inhibits dopamine cells in the VTA. This disinhibition leads to the sustained firing rates necessary to release CCK. So, because the level of action is on the dopamine VTA neurons, opioids will probably cause increased release of CCK.

Now, take cocaine for example. It is a dopamine reuptake inhibitor (mostly), and so it increases dopamine levels in the nucleus accumbens by blocking the local reuptake of dopamine. In fact, I looked and it seems as though cocaine administration decreases VTA dopamine cell firing rate. Therefore, cocaine administration would probably decrease the amount of CCK released because of reduced stimulation of VTA dopamine cells.

Now, this is all just my best guess, but it might help explain some of the differences, at least between opioids and cocaine (not sure about psychedelics or dopamine-releasing agents). That basically, CCK antagonists will only work if said drug can sufficiently stimulate VTA dopamine neurons to release CCK.


From all the studies I have read CCK is constantly released alongside dopamine, the extent of which is the question though I agree.

I have a intuitition that epigenetic mechanisms cause an increased release of CCK over time/ VTA dopamine neurons firing becomes increased(involvement with conditioned place preference?) As a preventative mechanism to retain a homeostatic dopamine balance.... Ill try to locate the studies, but bottom line I somewhat agree with you the EXTENT to which CCK is stimulated may be directly related to tolerance or it might be another secondary mechanism
 
Gotu Kola acts on cck atleast according to a abstract ive read im not sure wich subtype or have any info on affinity's wich possibly makes it a alternative to proglumide.

One issue its known tolerance occurs to the anti tolerance effects of proglumide limiting its utility.
 
One issue its known tolerance occurs to the anti tolerance effects of proglumide limiting its utility
 
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The problem is the tolerance to proglumide- but a schedule of dosing (just as many use for opiate maintence) could easily be done..

Of course tolerance
 
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So after a few weeks of research I was able to get what's supposedly Proglumide from two different sources. Now, before I ingest this stuff, because it didn't actually come in any manufacturer's container, how can I test the powder to make sure that it's in fact Proglumide? Of course it would be nice if I were a chemist, but that I am not. Any suggestions? This is the chemical makeup, according to Wikipedia http://en.wikipedia.org/wiki/Proglumide
 
Any chemists around that can make a recommendation? The tests required are too complicated and therefore too time consuming for me to try and get going. Appreciate any suggestions. Thanks
 
There's almnost no easy way for a lay-man to identifyrandom white powders.

Here's some tests though, in order of certainty.
1. Water/solvent solubility. (very rough)
2. Melting point testing (rougher)
3. Density testing
4. reagent tests

None of those will tell you with 100% certainty though, you really need to send it to a lab to get an analysis.
 
http://en.wikipedia.org/wiki/Biuret_test, seems simple enough to do at home, and should detect the peptide bond. Just make sure nothing biological gets anywhere near the powder in the meantime, its really sensitive.

This and water/nearly pure alcohols/anhydrous acetone should be a good place to start, but only a lab can tell for sure.
 
The problem is the tolerance to proglumide- but a schedule of dosing (just as many use for opiate maintence) could easily be done..

Of course tolerance
Thats no real issue as while you leave cck alone you can work on another pathway to stop tolerance from raising again.

Id say we need some central tolerance thread discussing the differened pathways and what results ppl can get, perhaps a seperate one for withdrawal issues.
 
I ingested a 200 mg gelcap of proglumide on Sunday (five days ago) to lower opiate tolerance (I am a chronic user of 200+mg of oxycodone per day) and I am still very much feeling the effects

My tolerance has been greatly reduced to the point where I am taking less than half of what I am used to taking. I feel like the oxy doesn't even feel the same anymore and I am having trouble finding my "sweet spot" dosage. Everytime it's either too much or too little. I think I am experiencing heightened anxiety also. How long is this going to last? Wouldn't the proglumide lower anxiety if anything? I never expected the effects would be this strong or last this long. Please share some insight

Thanks
 
Any updates? def interesting thread something more should try, they wont as most ppl are just to skeptical, instead of being skeptical but giving it a try:)
 
I ingested a 200 mg gelcap of proglumide on Sunday (five days ago) to lower opiate tolerance (I am a chronic user of 200+mg of oxycodone per day) and I am still very much feeling the effects

My tolerance has been greatly reduced to the point where I am taking less than half of what I am used to taking. I feel like the oxy doesn't even feel the same anymore and I am having trouble finding my "sweet spot" dosage. Everytime it's either too much or too little. I think I am experiencing heightened anxiety also. How long is this going to last? Wouldn't the proglumide lower anxiety if anything? I never expected the effects would be this strong or last this long. Please share some insight

Thanks

Does the OP have any comment on this? It's over two months later and I just dosed again yesterday morning around 150mg proglumide. Not sure the effect it had yet but tolerance was definitely affected. It takes me a while (days) for me to find a good opiate dose after I take the proglumide.

Would overdose potential be higher because of the proglumide? Or is the "feeling" just different? Like I understand my dopamine isn't being blocked by cck but does that mean my previous dose could result in overdose, or do I still maintain my tolerance to effects like respiratory depression, etc?

Any idea why I was so effected by the proglumide? My tolerance was lowered for over an entire month.

Any insight would be much appreciated.
 
So, what the bottom line with regards to lowering/preventing tolerance to AMPH? Useful? At what dosages? Which way of cycling did you find effective?

Not asking to be spoon-fed, just very curious about the results.
 
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