Drug and alcohol dependence
November 25, 1997
J P Zacny, A M Cho, A Y Toledano et al.
Being told what drug and effects to expect can change how people respond to nitrous oxide. Healthy volunteers could choose between inhaling nitrous oxide (10-40% concentration) or placebo (oxygen) after sampling both. One group was told the concentration and typical effects (tingling, euphoria, dysphoria); the other was only told the drug came from one of six classes. Thirty percent nitrous oxide was chosen more often than chance only by informed participants, and the probability of choosing 20-40% nitrous oxide was higher in the informed group. Subjective effects were unaffected, but psychomotor impairment at the highest concentration was greater in the non-informed group, suggesting that information can modulate reinforcing and impairing effects.
Anesthesiology
November 1, 1997
J L Galinkin, D Janiszewski, C J Young et al.
Sevoflurane, a volatile general anesthetic, and nitrous oxide, a gaseous anesthetic, produce different subjective, psychomotor, and analgesic effects at equal subanesthetic concentrations. In 12 healthy volunteers, sevoflurane caused greater amnesia, psychomotor impairment, and drowsiness than nitrous oxide, while only nitrous oxide provided analgesic effects. Recovery from both drugs was rapid. The distinct effect profiles align with their chemical and mechanistic differences.
Drug and alcohol dependence
April 14, 1997
A M Cho, D W Coalson, P A Klock et al.
Moderate drinkers chose nitrous oxide more often than light drinkers in a laboratory choice procedure, suggesting that alcohol history may influence the reinforcing effects of the drug. Healthy volunteers sampled placebo and 10-40% nitrous oxide across four sessions and then chose between the two. Most subjective and psychomotor-impairing effects did not differ between the groups. However, moderate drinkers selected nitrous oxide a median of three times, compared with one time for light drinkers, a statistically significant difference. The findings provide suggestive evidence that prior alcohol exposure modulates how rewarding nitrous oxide is.
Drug and alcohol dependence
November 1, 1996
J P Zacny, J M Klafta, D W Coalson et al.
Brief exposures (about 1.5 minutes) to nitrous oxide at concentrations of 20-80% in oxygen did not function as reinforcers in 11 healthy volunteers with modest lifetime psychoactive drug use. In a choice procedure, subjects sampled each concentration and placebo oxygen, then chose between them. 20%, 40%, 60%, and 80% nitrous oxide were chosen by five, four, three, and three subjects respectively, none exceeding chance levels. All concentrations produced psychoactive effects, with concentration-related subjective effects. The authors conclude that nitrous oxide inhaled in a manner similar to recreational use does not act as a reinforcer across a wide range of concentrations in this population.
Pharmacology, biochemistry, and behavior
June 1, 1996
S Yajnik, J P Zacny, C J Young et al.
A crossover, double-blind trial with eleven healthy volunteers tested whether acute drug tolerance develops to the subjective, cognitive, and psychomotor effects of subanesthetic nitrous oxide at doses of 0, 10, 20, 30, and 40%. Over a 120-minute inhalation period, there was little evidence of acute tolerance to the subjective or impairing effects at any concentration.
Neuroscience letters
May 10, 1996
J P Zacny, A M Cho, D W Coalson et al.
Inhaling nitrous oxide at increasing doses (10–40%) reduces pain intensity and the bother of pain from cold-water immersion, but this analgesic effect weakens over a 120-minute inhalation period (acute tolerance). Some pleasant subjective effects, such as elation and drug liking, also show acute tolerance. Other subjective effects and psychomotor impairment do not change significantly during the inhalation period, indicating no acute tolerance for those measures. The differing patterns of tolerance suggest that distinct neurochemical systems may mediate different effects of nitrous oxide.
Pharmacology, biochemistry, and behavior
November 1, 1994
J P Zacny, D W Coalson, J L Lichtor et al.
Two double-blind, randomized experiments tested whether the opioid antagonist naloxone alters the mood-altering and performance-impairing effects of nitrous oxide. In both experiments, inhaling 30% nitrous oxide increased self-reported feelings of drug effect, carefreeness, drunkenness, sedation, and being high, and it worsened psychomotor performance. Naloxone, given intravenously at doses ranging from 0.01 to 10 mg per 70 kg, had no effects on its own and did not significantly change any of nitrous oxide's effects. The authors conclude that naloxone, at doses up to 10 mg, does not appear to influence the subjective or psychomotor effects of nitrous oxide.
Drug and alcohol dependence
February 1, 1993
C S Dohrn, J L Lichtor, D W Coalson et al.
In healthy volunteers, inhaling 30% nitrous oxide was chosen no more often than oxygen (41.6% choice rate), showing it was not more reinforcing. Inhaling 40% nitrous oxide was chosen significantly less often than oxygen (22% choice rate), indicating it was less reinforcing. Nitrous oxide produced robust subjective effects such as increased ratings of 'high,' 'tingling,' and 'dizzy.' Subjects who chose nitrous oxide reported pleasant effects and liked it, while those who chose placebo reported unpleasant effects and disliked it. Both concentrations impaired psychomotor performance in all subjects. The lack of reinforcing effects is discussed in light of nitrous oxide's known abuse potential.