Methods for the treatment of substance abuse and dependence
An anxiety disorder, an effective amount of technology, a method and composition applied in the field of symptoms, treatment, diagnosis of people with altered GABAA receptor status, a class of compounds that modulate the expression of certain GABAA receptor subunits, and capable of addressing enhanced Stress withdrawal symptoms, failure, etc.
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Embodiment 1
[0238] VII. Example 1: Scheme for the treatment of general anxiety disorders
[0239] Anxiety disorders are usually debilitating and chronic diseases that worsen under stress and are related to changes in hormone levels in the body. To compensate for this hormonal change or to increase progesterone as described above, people try to produce greater stress in their lives. GABA-regulating steroids such as progesterone and its metabolite allopregnanolone act on GABA receptor function, therefore, when progesterone is down-regulated in an individual (for example, in the case of certain anxiety disorders), GABAA receptor alpha 4 Subunit expression relative to α 1 The expression of subunits is increased. By restoring GABAA to the normal level of receptor subunits (decreasing alpha 4 And increase the amount of α 1 Amount, for GABA and benzodiazepine The combination of classes is more sensitive), which can treat underlying disease states.
[0240] a. Pre-treatment / patient evaluation stage ...
Embodiment 2
[0270]Male, 30 years old, diagnosed with general anxiety disorder under DSM IV criteria. He is currently undergoing medication, including 20 mg / day paroxetine and 0.25 mg / day alprazolam (maximum 4 mg in 24 hours) as needed.
[0271] Patient preparation step 1: 6 weeks before the scheduled treatment, instruct the patient to reduce the dose of paroxetine to 10 mg / day in 2 weeks. Four weeks before the scheduled treatment, the patient was instructed to stop all drugs, including alprazolam and paroxetine.
[0272] Patient preparation step 2: 4 weeks before the scheduled treatment, he started to administer 5 mg / day finasteride as scheduled. Three days before the scheduled treatment, finasteride was stopped and the patient was instructed not to engage in any stress-inducing activities or ingest any substances that might increase the production of neurosteroids.
[0273] Treatment on Day 1: The male patient was administered flumazenil by infusion in an amount of less than 15 mg / day. Monit...
Embodiment 3
[0320] IX. Example 3: Treatment plan for specific phobia and social phobia (social anxiety disorder)
[0321] Terror is a strong, irrational fear that avoids objects and environments. The person knows that this fear is irrational and remains anxious. Phobia is different from general anxiety disorder and panic disorder because there are specific stimuli or situations that trigger a strong fear response.
[0322] a. Pre-treatment / patient evaluation stage
[0323] As mentioned above, before entering the treatment plan of the present invention, each patient should undergo pre-treatment analysis. Pre-treatment analysis can be used to determine whether the patient is the best candidate for the treatment method of the present invention. In addition, the pre-treatment process can be used to prepare the patient to enter the treatment method of the present invention.
[0324] i. Diagnosis of specific horror
[0325] ■Because of the existence or anticipation of specific objects or situations,...
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