Nicotine biomarkers and rate of nicotine metabolism among cigarette smokers taking buprenorphine for opioid dependency

Autor: Noah R. Gubner, Sharon M. Hall, Joseph Guydish, Gary L. Humfleet, Neal L. Benowitz
Rok vydání: 2017
Předmět:
and promotion of well-being
medicine.medical_treatment
Toxicology
Medical and Health Sciences
Nicotine
Tobacco Use
Substance Misuse
0302 clinical medicine
Opiate
Pharmacology (medical)
030212 general & internal medicine
CYP2A6
Cancer
education.field_of_study
Smoking
Tobacco Products
Buprenorphine
Substance abuse
Stroke
Psychiatry and Mental health
Respiratory
medicine.drug
medicine.medical_specialty
Population
Opioid
Drug abuse
Article
03 medical and health sciences
Clinical Research
Internal medicine
Tobacco
medicine
Humans
Psychiatry
education
Pharmacology
Tobacco Smoke and Health
business.industry
Prevention
Psychology and Cognitive Sciences
Neurosciences
medicine.disease
Opioid-Related Disorders
Prevention of disease and conditions
Brain Disorders
Treatment
Good Health and Well Being
Smoking cessation
3.1 Primary prevention interventions to modify behaviours or promote wellbeing
Smoking Cessation
business
Drug Abuse (NIDA only)
030217 neurology & neurosurgery
Biomarkers
Zdroj: Gubner, NR; Guydish, J; Humfleet, GL; Benowitz, NL; & Hall, SM. (2017). Nicotine biomarkers and rate of nicotine metabolism among cigarette smokers taking buprenorphine for opioid dependency. Drug and Alcohol Dependence, 178, 267-270. doi: 10.1016/j.drugalcdep.2017.05.020. UCSF: Retrieved from: http://www.escholarship.org/uc/item/9gd2b6vv
DOI: 10.1016/j.drugalcdep.2017.05.020.
Popis: © 2017 Elsevier B.V. Background Individual differences in the rate of nicotine metabolism contribute to differences in tobacco use, dependence, and efficacy of smoking cessation treatments and can be assessed using the nicotine metabolite ratio (NMR), a validated biomarker for CYP2A6 activity. Despite the high cigarette smoking rates observed in opioid users, no data have been reported on NMR among this population as they has been largely excluded from previous studies that have examined the relationship between tobacco use characteristics and rate of nicotine metabolism. Methods A linear regression model was used to examine the relationship between tobacco use characteristics and NMR among smokers taking buprenorphine for opioid dependency (N = 141). The relationship between buprenorphine dose and NMR was also examined. All participants were enrolled in an intervention designed to promote cigarette-smoking cessation, though participants did not need to stop smoking to enroll. Results and conclusions Rate of nicotine metabolism assessed using the NMR was positively associated with cigarettes smoked in the past 24 h, but was not related to time to first cigarette or past year quit attempts. Dose of buprenorphine was not associated with NMR, suggesting no association with rate of nicotine metabolism. Our results suggest that NMR is related to tobacco use among persons enrolled in opioid treatment, as reported in general population smokers and may be a useful biomarker to include in future research assessing efficacy of tobacco cessation interventions in this population.
Databáze: OpenAIRE