Is there a way to curb benzodiazepine addiction?

Arnaud L. Lalive, Uwe Rudolph, Christian Lus̈cher, Kelly R. Tan

Research output: Contribution to journalReview article

Abstract

Benzodiazepines are widely prescribed drugs used to treat anxiety and insomnia, induce muscle relaxation, control epileptic seizures, promote anaesthesia or produce amnesia. Benzodiazepines are also abused for recreational purposes and the number of benzodiazepine abusers is unfortunately increasing. Within weeks of chronic use, tolerance to the pharmacological effects can develop and withdrawal becomes apparent once the drug is no longer available, which are both conditions indicative of benzodiazepine dependence. Diagnosis of addiction (i.e. compulsive use despite negative consequences) may follow in vulnerable individuals. Here, we review the historical and current use of benzodiazepines from their original synthesis, discovery and commercialisation to the recent identification of the molecular mechanism by which benzodiazepines induce addiction. These results have identified the mechanisms underlying the activation of midbrain dopamine neurons by benzodiazepines, and how these drugs can hijack the mesocorticolimbic reward system. Such knowledge calls for future developments of new receptor subtype specific benzodiazepines with a reduced addiction liability.

Original languageEnglish (US)
Article numberw13277
JournalSwiss Medical Weekly
Volume141
Issue numberOCTOBER
DOIs
StatePublished - Oct 1 2011
Externally publishedYes

Keywords

  • Addiction
  • Benzodiazepines
  • GABA receptor
  • Ventral tegmental area

ASJC Scopus subject areas

  • Medicine(all)

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