Rationale-Opioid receptor agonists can enhance some effects of cannabinoid receptor agonists and cannabinoid receptor agonists can enhance some effects of opioid receptor agonists; however, the generality of these interactions is not established.Objective-This study examined interactions between the discriminative stimulus and antinociceptive effects of μ opioid receptor agonists and Δ 9 -tetrahydrocannabinol (THC) in rhesus monkeys.Results-Neither heroin nor morphine (i.v. or s.c.) altered the discriminative stimulus effects of THC in monkeys (n=5) discriminating 0.1 mg/kg THC i.v. In contrast, THC (s.c.) markedly attenuated the discriminative stimulus effect of morphine and heroin in non-dependent monkeys (n=4) discriminating 1.78 mg/kg morphine s.c. Doses of THC that attenuated the discriminative stimulus effects of morphine in non-dependent monkeys failed to modify the discriminative stimulus effects of morphine in morphine-dependent (5.6 mg/kg/12 hr) monkeys (n=4) discriminating 0.0178 mg/kg naltrexone s.c. THC also failed to modify the discriminative stimulus effects of naltrexone in morphine-dependent monkeys or the effects of midazolam in monkeys (n=4) discriminating 0.32 mg/kg midazolam s.c. Doses of THC (s.c.) that attenuated the discriminative stimulus effects of morphine in non-dependent monkeys enhanced the antinociceptive effects of morphine (s.c.) in non-dependent monkeys. While μ receptor agonists did not alter the discriminative stimulus effects of THC, in a context-dependent manner THC altered the effects of μ receptor agonists.Conclusion-That the same doses of THC enhance, attenuate, or do not affect morphine, depending on the condition, suggests that attenuation of morphine by THC can result from perceptual masking rather than common pharmacodynamic mechanisms or pharmacokinetic interactions.
Keywordsopioid; THC; drug discrimination; rhesus monkey; perceptual masking; morphine; heroin; midazolam; naltrexone; antinociception Cannabinoid receptor agonists and μ opioid receptor agonists have some effects in common (e.g. antinociception): drugs from both classes have important therapeutic effects and some are abused (e.g., marijuana and heroin). Cannabinoid and opioid systems and drugs interact under a broad range of conditions, from cellular (Rios et al. 2006) to behavioral (e.g. Haney
NIH Public AccessAuthor Manuscript Psychopharmacology (Berl). Author manuscript; available in PMC 2012 October 24.Published in final edited form as:Psychopharmacology (Berl). 2008 August ; 199(2): 199-208. doi:10.1007/s00213-008-1157-0.
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NIH-PA Author Manuscript2007) measures of drug action. Understanding these interactions could be especially important for developing novel medications that might comprise both cannabinoid and opioid mechanisms and for understanding the factors that contribute to polydrug abuse.Especially relevant to polydrug abuse are studies on the combined effects of opioids and cannabinoids on behavioral measures that are related to and p...