Healthcare (Mar 2021)

Potential Benefits of N-Acetylcysteine in Preventing Pregabalin-Induced Seeking-Like Behavior

  • Atiah H. Almalki,
  • Hashem O. Alsaab,
  • Walaa F. Alsanie,
  • Ahmed Gaber,
  • Turki Alkhalifa,
  • Ahmad Almalki,
  • Omar Alzahrani,
  • Ana Maria Gregio Hardy,
  • Qasim Alhadidi,
  • Zahoor A. Shah,
  • Yusuf S. Althobaiti

DOI
https://doi.org/10.3390/healthcare9040376
Journal volume & issue
Vol. 9, no. 4
p. 376

Abstract

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Substance-use disorder is globally prevalent and responsible for numerous social and medical problems. Pregabalin (Lyrica), typically used to treat diabetic neuropathy, has recently emerged as a drug of abuse. Drug abuse is associated with several neuronal changes, including the downregulation of glutamate transporters such as glutamate transporter 1 and cystine/glutamate antiporter. We investigated the effects of N-acetylcysteine, a glutamate transporter 1 and xCT upregulator, on pregabalin addiction using a conditioned place preference paradigm. Pregabalin (60 mg/kg) was found to induce conditioned place preference when compared to a vehicle. A 100 mg/kg dose of N-acetylcysteine was found to block pregabalin-seeking behaviors. These results support previous findings showing that glutamate transporters play an important role in pregabalin-induced seeking behaviors. N-acetylcysteine may represent a beneficial agent in preventing the abuse potential of pregabalin.

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