Acute administration of oxycodone, alcohol, and their combination on simulated driving—preliminary outcomes in healthy adults

Rationale Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available. Objectives The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone a...

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Published inPsychopharmacology Vol. 238; no. 2; pp. 539 - 549
Main Authors Babalonis, Shanna, Coe, Marion A., Nuzzo, Paul A., Lofwall, Michelle R., Ali, Nur, Sloan, Paul A., Fanucchi, Laura C., Walsh, Sharon L.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2021
Springer
Springer Nature B.V
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Abstract Rationale Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available. Objectives The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance. Methods Healthy participants ( n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration. Results Oxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo ( p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment ( p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) ( p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects. Conclusions These preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
AbstractList Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available. The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance. Healthy participants (n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration. Oxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo (p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment (p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) (p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects. These preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
RationaleEpidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available.ObjectivesThe primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance.MethodsHealthy participants (n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration.ResultsOxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo (p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment (p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) (p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects.ConclusionsThese preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
Rationale Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available. Objectives The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance. Methods Healthy participants ( n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration. Results Oxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo ( p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment ( p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) ( p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects. Conclusions These preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
Rationale Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available. Objectives The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance. Methods Healthy participants (n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration. Results Oxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo (p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment (p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) (p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects. Conclusions These preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available. The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance. Healthy participants (n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration. Oxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo (p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment (p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) (p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects. These preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available.RATIONALEEpidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited controlled data available.The primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance.OBJECTIVESThe primary aim of this study was to assess the effects of a therapeutic dose range of oxycodone alone and in combination with alcohol on simulated driving performance.Healthy participants (n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration.METHODSHealthy participants (n = 10) completed this within-subject, double-blind, placebo-controlled, randomized outpatient study. Six 7-h sessions were completed during which oxycodone (0, 5, 10 mg, p.o.) was administered 30 min before alcohol (0, 0.8 g/kg (15% less for women), p.o.) for a total of 6 test conditions. Driving assessments and participant-, observer-rated, psychomotor and physiological measures were collected in regular intervals before and after drug administration.Oxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo (p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment (p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) (p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects.RESULTSOxycodone alone (5, 10 mg) did not produce any changes in driving outcomes or psychomotor task performance, relative to placebo (p > 0.05); however, 10 mg oxycodone produced increases in an array of subjective ratings, including sedation and impairment (p < 0.05). Alcohol alone produced driving impairment (e.g., decreased lateral control) (p < 0.05); however, oxycodone did not potentiate alcohol-related driving or subjective effects.These preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.CONCLUSIONSThese preliminary data suggest that acute doses of oxycodone (5, 10 mg) do not significantly impair acuity on laboratory-based simulated driving models; however, 10 mg oxycodone produced increases in self-reported outcomes that are not compatible with safe driving behavior (e.g., sedation, impairment). Additional controlled research is needed to determine how opioid misuse (higher doses; parenteral routes of administration) impacts driving risk.
Audience Academic
Author Sloan, Paul A.
Lofwall, Michelle R.
Fanucchi, Laura C.
Walsh, Sharon L.
Babalonis, Shanna
Coe, Marion A.
Nuzzo, Paul A.
Ali, Nur
AuthorAffiliation 2 Center on Drug and Alcohol Research, University of Kentucky, College of Medicine, Lexington, KY
5 Department of Psychiatry, University of Kentucky, College of Medicine, Lexington, KY
6 Department of Internal Medicine, University of Kentucky, College of Medicine, Lexington, KY
3 Department of Pharmacology, University of Kentucky, College of Medicine, Lexington, KY
4 Department of Anesthesiology, University of Kentucky, College of Medicine, Lexington, KY
1 Department of Behavioral Science, University of Kentucky, College of Medicine, Lexington, KY
AuthorAffiliation_xml – name: 4 Department of Anesthesiology, University of Kentucky, College of Medicine, Lexington, KY
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– name: 3 Department of Pharmacology, University of Kentucky, College of Medicine, Lexington, KY
– name: 5 Department of Psychiatry, University of Kentucky, College of Medicine, Lexington, KY
– name: 2 Center on Drug and Alcohol Research, University of Kentucky, College of Medicine, Lexington, KY
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Issue 2
Keywords Human
Drugged driving
Driving simulator
Ethanol
Oxycodone
Impairment
Opioid
Alcohol
Language English
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References YadavAKVelagaNRLaboratory analysis of driving behavior and self-perceived physiological impairment at 0.03%, 0.05% and 0.08% blood alcohol concentrationsDrug Alcohol Depend20192051076301:CAS:528:DC%2BC1MXitVSqtLfK10.1016/j.drugalcdep.2019.107630
BernhoftIMHelsTLyckegaardAHouwingSVerstraeteAGPrevalence and risk of injury in Europe by driving with alcohol, illicit drugs and medicinesProcedia Soc Behav Sci2012482907291610.1016/j.sbspro.2012.06.1259
HayleyACDowneyLAGreenMShiferawBKenneallyMKeaneMAdamsMShehabiYDriving simulator performance after administration of analgesic doses of ketamine with dexmedetomidine or fentanylJ Clin Psychopharmacol2019394464541:CAS:528:DC%2BC1MXhvFWlurnJ10.1097/JCP.0000000000001101
KingACde WitHMcNamaraPJCaoDRewarding, stimulant, and sedative alcohol responses and relationship to future binge drinkingArch Gen Psychiatry20116838939910.1001/archgenpsychiatry.2011.26
ZacnyJPGutierrezSSubjective, psychomotor, and physiological effects of oxycodone alone and in combination with ethanol in healthy volunteersPsychopharmacology (Berl)20112184714811:CAS:528:DC%2BC3MXmtlelsLk%3D10.1007/s00213-011-2349-6
StrandMCArnestadMFjeldBMorlandJAcute impairing effects of morphine related to driving: a systematic review of experimental studies to define blood morphine concentrations related to impairment in opioid-naive subjectsTraffic Inj Prev20171878879410.1080/15389588.2017.1326595
JongenSVuurmanEFRamaekersJGVermeerenAThe sensitivity of laboratory tests assessing driving related skills to dose-related impairment of alcohol: a literature reviewAccid Anal Prev20168931481:STN:280:DC%2BC28njt12jtw%3D%3D10.1016/j.aap.2016.01.001
National Survey on Drug Use and Health, Center for Behavioral Health Statistics and Quality. Results from the 2018 National Survey on Drug Use and Health: detailed tables. Rockville (MD): SAMHSA; 2019. https://www.samhsa.gov/data/report/2018-nsduh-detailed-tables
NilsenHKLandroNIKaasaSJenssenGDFayersPBorchgrevinkPCDriving functions in a video simulator in chronic non-malignant pain patients using and not using codeineEur J Pain2011154094151:CAS:528:DC%2BC3MXksFelsLs%3D10.1016/j.ejpain.2010.09.008
LinnoilaMHakkinenSEffects of diazepam and codeine, alone and in combination with alcohol, on simulated drivingClin Pharmacol Ther1974153683731:STN:280:DyaE2c7ktVeltQ%3D%3D10.1002/cpt1974154368
BrownTLMilavetzGGaffneyGSpurginAEvaluating drugged driving: effects of exemplar pain and anxiety medicationsTraffic Inj Prev201819S97S10310.1080/15389588.2017.1378814
GalskiTWilliamsJBEhleHTEffects of opioids on driving abilityJ Pain Symptom Manage2000192002081:STN:280:DC%2BD3c3isF2isw%3D%3D10.1016/S0885-3924(99)00158-X
WalshSLNuzzoPALofwallMRHoltmanJRJrThe relative abuse liability of oral oxycodone, hydrocodone and hydromorphone assessed in prescription opioid abusersDrug Alcohol Depend2008981912021:CAS:528:DC%2BD1cXht1Sitr7O10.1016/j.drugalcdep.2008.05.007
ChihuriSLiGUse of prescription opioids and motor vehicle crashes: a meta analysisAccid Anal Prev201710912313110.1016/j.aap.2017.10.004
KressHGKraftBOpioid medication and driving abilityEur J Pain200591411441:CAS:528:DC%2BD2MXhslWrs74%3D10.1016/j.ejpain.2004.05.010
SetnikBSokolowskaMJohnsonFOldenhofJRomachMEvaluation of the safety, pharmacodynamic, and pharmacokinetic effects following oral coadministration of immediate-release morphine with ethanol in healthy male participantsHum Psychopharmacol2014292512651:CAS:528:DC%2BC2cXmsVGks7k%3D10.1002/hup.2394
ChihuriSLiGTrends in prescription opioids detected in fatally injured drivers in 6 US states: 1995-2015Am J Public Health20171071487149210.2105/AJPH.2017.303902
KingACCaoDde WitHO’ConnorSJHasinDSThe role of alcohol response phenotypes in the risk for alcohol use disorderBr J Psych20195e38131:CAS:528:DC%2BC1MXisVaiur7J
StrandMCVindenesVGjerdeHMorlandJGRamaekersJGA clinical trial on the acute effects of methadone and buprenorphine on actual driving and cognitive function of healthy volunteersBr J Clin Pharmacol2019854424531:CAS:528:DC%2BC1MXhsFymsb8%3D10.1111/bcp.13818
ChihuriSLiGUse of prescription opioids and initiation of fatal 2-vehicle crashesJAMA Netw Open20192e18808110.1001/jamanetworkopen.2018.8081
RushCRPretreatment with hydromorphone, a mu-opioid agonist, does not alter the acute behavioral and physiological effects of ethanol in humansAlcohol Clin Exp Res2001259171:CAS:528:DC%2BD3MXjtFGmur0%3D11198720
BabalonisSHampsonAJLofwallMRNuzzoPAWalshSLQuinine as a potential tracer for medication adherence: a pharmacokinetic and pharmacodynamic assessment of quinine alone and in combination with oxycodone in humansJ Clin Pharmacol20155512133213431:CAS:528:DC%2BC2MXhvVyiurbI10.1002/jcph.557
MartinCSEarleywineMMustyREPerrineMWSwiftRMDevelopment and validation of the biphasic alcohol effects scaleAlcohol Clin Exp Res19931711401461:STN:280:DyaK3s7pvV2muw%3D%3D10.1111/j.1530-0277.1993.tb00739.x
ToriMELarochelleMRNaimiTSAlcohol or benzodiazepine co-involvement with opioid overdose deaths in the United States, 1999-2017JAMA Netw Open20203e20236110.1001/jamanetworkopen.2020.2361
LaceyJHKelley-BakerTBerningARomanoERamirezAYaoJMooreCBrainardKCarrKPellKComptonRDrug and alcohol crash risk: a case-control study (Report No. DOT HS 812 355)2016Washington, DCNational Highway Traffic Safety Administration
IrwinCIudakhinaEDesbrowBMcCartneyDEffects of acute alcohol consumption on measures of simulated driving: a systematic review and meta-analysisAccid Anal Prev201710224826610.1016/j.aap.2017.03.001
BabalonisSLofwallMRNuzzoPASiegelAJWalshSLAbuse liability and reinforcing efficacy of oral tramadol in humansDrug Alcohol Depend20131291-21161241:CAS:528:DC%2BC38XhsFKnsLzE10.1016/j.drugalcdep.2012.09.018
BerningAComptonRWochingerKResults of the 2013–2014 National Roadside Survey of alcohol and drug use by drivers. Traffic Safety Facts Research Note. Report No. DOT HS 812 1182015Washington, DCNational Highway Traffic Safety Administration
MiceliLBednarovaRRizzardoASamoginVDella RoccaGDevelopment of a test for recording both visual and auditory reaction times, potentially useful for future studies in patients on opioids therapyDrug Des Devel Ther201598171:CAS:528:DC%2BC1cXlsVOhsbw%3D10.2147/DDDT.S77978
American Pain Society. Pain management and dosing guide. 2016. http://americanpainsociety.org/uploads/education/PAMI_Pain_Mangement_and_Dosing_Guide_02282017.pdf
HedlundJMacekKDrug-impaired driving: marijuana and opioids raise critical issues for states2018Washington, DCGovernor’s Highway Safety Associationhttps://www.ghsa.org/resources/DUID18
KingACMcNamaraPJHasinDSCaoDAlcohol challenge responses predict future alcohol use disorder symptoms: a 6-year prospective studyBiol Psychiatry20147579880610.1016/j.biopsych.2013.08.001
EsserMBGuyGPJrZhangKBrewerRDBinge drinking and prescription opioid misuse in the US, 2012–2014Am J Prev Med20195719720810.1016/j.amepre.2019.02.025
FerreiraDHBolandJWPhillipsJLLamLCurrowDCThe impact of therapeutic opioid agonists on driving-related psychomotor skills assessed by a driving simulator or an on-road driving task: a systematic reviewPalliat Med20183278680310.1177/0269216317746583
FraserHFVan HornGDMartinWRWolbachABIsbellHMethods for evaluating addiction liability. (A) “Attitude” of opiate addicts toward opiate-like drugs. (B) A short-term “direct” addiction testJ Pharmacol Exp Ther19611333713871:CAS:528:DyaF3MXhsVGltL4%3D13701509
KirkpatrickMGde WitHIn the company of others: social factors alter acute alcohol effectsPsychopharmacology (Berl)20132302152261:CAS:528:DC%2BC3sXot1Ojt70%3D10.1007/s00213-013-3147-0
LenneMGDietzePRumboldGRRedmanJRTriggsTJThe effects of the opioid pharmacotherapies methadone, LAAM and buprenorphine, alone and in combination with alcohol, on simulated drivingDrug Alcohol Depend2003722712781:CAS:528:DC%2BD3sXpt1ektr8%3D10.1016/j.drugalcdep.2003.08.002
National Center for Statistics and AnalysisAlcohol-impaired driving: 2018 data (Traffic Safety Facts. Report No. DOT HS 812 864)2019Washington, DCNational Highway Traffic Safety Administration
S Chihuri (5702_CR9) 2019; 2
National Center for Statistics and Analysis (5702_CR28) 2019
MG Lenne (5702_CR24) 2003; 72
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L Miceli (5702_CR27) 2015; 9
S Chihuri (5702_CR8) 2017; 107
HG Kress (5702_CR22) 2005; 9
MC Strand (5702_CR34) 2019; 85
J Hedlund (5702_CR15) 2018
MG Kirkpatrick (5702_CR21) 2013; 230
AC King (5702_CR20) 2019; 5
JH Lacey (5702_CR23) 2016
AC Hayley (5702_CR14) 2019; 39
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IM Bernhoft (5702_CR4) 2012; 48
ME Tori (5702_CR35) 2020; 3
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S Jongen (5702_CR17) 2016; 89
MC Strand (5702_CR33) 2017; 18
M Linnoila (5702_CR25) 1974; 15
AC King (5702_CR18) 2011; 68
S Babalonis (5702_CR2) 2013; 129
HF Fraser (5702_CR12) 1961; 133
S Babalonis (5702_CR3) 2015; 55
T Galski (5702_CR13) 2000; 19
HK Nilsen (5702_CR30) 2011; 15
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CS Martin (5702_CR26) 1993; 17
S Chihuri (5702_CR7) 2017; 109
AC King (5702_CR19) 2014; 75
CR Rush (5702_CR31) 2001; 25
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TL Brown (5702_CR6) 2018; 19
A Berning (5702_CR5) 2015
JP Zacny (5702_CR38) 2011; 218
C Irwin (5702_CR16) 2017; 102
References_xml – reference: GalskiTWilliamsJBEhleHTEffects of opioids on driving abilityJ Pain Symptom Manage2000192002081:STN:280:DC%2BD3c3isF2isw%3D%3D10.1016/S0885-3924(99)00158-X
– reference: StrandMCVindenesVGjerdeHMorlandJGRamaekersJGA clinical trial on the acute effects of methadone and buprenorphine on actual driving and cognitive function of healthy volunteersBr J Clin Pharmacol2019854424531:CAS:528:DC%2BC1MXhsFymsb8%3D10.1111/bcp.13818
– reference: BrownTLMilavetzGGaffneyGSpurginAEvaluating drugged driving: effects of exemplar pain and anxiety medicationsTraffic Inj Prev201819S97S10310.1080/15389588.2017.1378814
– reference: FerreiraDHBolandJWPhillipsJLLamLCurrowDCThe impact of therapeutic opioid agonists on driving-related psychomotor skills assessed by a driving simulator or an on-road driving task: a systematic reviewPalliat Med20183278680310.1177/0269216317746583
– reference: NilsenHKLandroNIKaasaSJenssenGDFayersPBorchgrevinkPCDriving functions in a video simulator in chronic non-malignant pain patients using and not using codeineEur J Pain2011154094151:CAS:528:DC%2BC3MXksFelsLs%3D10.1016/j.ejpain.2010.09.008
– reference: EsserMBGuyGPJrZhangKBrewerRDBinge drinking and prescription opioid misuse in the US, 2012–2014Am J Prev Med20195719720810.1016/j.amepre.2019.02.025
– reference: WalshSLNuzzoPALofwallMRHoltmanJRJrThe relative abuse liability of oral oxycodone, hydrocodone and hydromorphone assessed in prescription opioid abusersDrug Alcohol Depend2008981912021:CAS:528:DC%2BD1cXht1Sitr7O10.1016/j.drugalcdep.2008.05.007
– reference: BabalonisSHampsonAJLofwallMRNuzzoPAWalshSLQuinine as a potential tracer for medication adherence: a pharmacokinetic and pharmacodynamic assessment of quinine alone and in combination with oxycodone in humansJ Clin Pharmacol20155512133213431:CAS:528:DC%2BC2MXhvVyiurbI10.1002/jcph.557
– reference: FraserHFVan HornGDMartinWRWolbachABIsbellHMethods for evaluating addiction liability. (A) “Attitude” of opiate addicts toward opiate-like drugs. (B) A short-term “direct” addiction testJ Pharmacol Exp Ther19611333713871:CAS:528:DyaF3MXhsVGltL4%3D13701509
– reference: JongenSVuurmanEFRamaekersJGVermeerenAThe sensitivity of laboratory tests assessing driving related skills to dose-related impairment of alcohol: a literature reviewAccid Anal Prev20168931481:STN:280:DC%2BC28njt12jtw%3D%3D10.1016/j.aap.2016.01.001
– reference: MiceliLBednarovaRRizzardoASamoginVDella RoccaGDevelopment of a test for recording both visual and auditory reaction times, potentially useful for future studies in patients on opioids therapyDrug Des Devel Ther201598171:CAS:528:DC%2BC1cXlsVOhsbw%3D10.2147/DDDT.S77978
– reference: National Survey on Drug Use and Health, Center for Behavioral Health Statistics and Quality. Results from the 2018 National Survey on Drug Use and Health: detailed tables. Rockville (MD): SAMHSA; 2019. https://www.samhsa.gov/data/report/2018-nsduh-detailed-tables
– reference: KressHGKraftBOpioid medication and driving abilityEur J Pain200591411441:CAS:528:DC%2BD2MXhslWrs74%3D10.1016/j.ejpain.2004.05.010
– reference: LenneMGDietzePRumboldGRRedmanJRTriggsTJThe effects of the opioid pharmacotherapies methadone, LAAM and buprenorphine, alone and in combination with alcohol, on simulated drivingDrug Alcohol Depend2003722712781:CAS:528:DC%2BD3sXpt1ektr8%3D10.1016/j.drugalcdep.2003.08.002
– reference: ToriMELarochelleMRNaimiTSAlcohol or benzodiazepine co-involvement with opioid overdose deaths in the United States, 1999-2017JAMA Netw Open20203e20236110.1001/jamanetworkopen.2020.2361
– reference: HayleyACDowneyLAGreenMShiferawBKenneallyMKeaneMAdamsMShehabiYDriving simulator performance after administration of analgesic doses of ketamine with dexmedetomidine or fentanylJ Clin Psychopharmacol2019394464541:CAS:528:DC%2BC1MXhvFWlurnJ10.1097/JCP.0000000000001101
– reference: LinnoilaMHakkinenSEffects of diazepam and codeine, alone and in combination with alcohol, on simulated drivingClin Pharmacol Ther1974153683731:STN:280:DyaE2c7ktVeltQ%3D%3D10.1002/cpt1974154368
– reference: MartinCSEarleywineMMustyREPerrineMWSwiftRMDevelopment and validation of the biphasic alcohol effects scaleAlcohol Clin Exp Res19931711401461:STN:280:DyaK3s7pvV2muw%3D%3D10.1111/j.1530-0277.1993.tb00739.x
– reference: National Center for Statistics and AnalysisAlcohol-impaired driving: 2018 data (Traffic Safety Facts. Report No. DOT HS 812 864)2019Washington, DCNational Highway Traffic Safety Administration
– reference: American Pain Society. Pain management and dosing guide. 2016. http://americanpainsociety.org/uploads/education/PAMI_Pain_Mangement_and_Dosing_Guide_02282017.pdf
– reference: ChihuriSLiGTrends in prescription opioids detected in fatally injured drivers in 6 US states: 1995-2015Am J Public Health20171071487149210.2105/AJPH.2017.303902
– reference: HedlundJMacekKDrug-impaired driving: marijuana and opioids raise critical issues for states2018Washington, DCGovernor’s Highway Safety Associationhttps://www.ghsa.org/resources/DUID18
– reference: KirkpatrickMGde WitHIn the company of others: social factors alter acute alcohol effectsPsychopharmacology (Berl)20132302152261:CAS:528:DC%2BC3sXot1Ojt70%3D10.1007/s00213-013-3147-0
– reference: RushCRPretreatment with hydromorphone, a mu-opioid agonist, does not alter the acute behavioral and physiological effects of ethanol in humansAlcohol Clin Exp Res2001259171:CAS:528:DC%2BD3MXjtFGmur0%3D11198720
– reference: IrwinCIudakhinaEDesbrowBMcCartneyDEffects of acute alcohol consumption on measures of simulated driving: a systematic review and meta-analysisAccid Anal Prev201710224826610.1016/j.aap.2017.03.001
– reference: ChihuriSLiGUse of prescription opioids and initiation of fatal 2-vehicle crashesJAMA Netw Open20192e18808110.1001/jamanetworkopen.2018.8081
– reference: StrandMCArnestadMFjeldBMorlandJAcute impairing effects of morphine related to driving: a systematic review of experimental studies to define blood morphine concentrations related to impairment in opioid-naive subjectsTraffic Inj Prev20171878879410.1080/15389588.2017.1326595
– reference: YadavAKVelagaNRLaboratory analysis of driving behavior and self-perceived physiological impairment at 0.03%, 0.05% and 0.08% blood alcohol concentrationsDrug Alcohol Depend20192051076301:CAS:528:DC%2BC1MXitVSqtLfK10.1016/j.drugalcdep.2019.107630
– reference: KingACMcNamaraPJHasinDSCaoDAlcohol challenge responses predict future alcohol use disorder symptoms: a 6-year prospective studyBiol Psychiatry20147579880610.1016/j.biopsych.2013.08.001
– reference: BabalonisSLofwallMRNuzzoPASiegelAJWalshSLAbuse liability and reinforcing efficacy of oral tramadol in humansDrug Alcohol Depend20131291-21161241:CAS:528:DC%2BC38XhsFKnsLzE10.1016/j.drugalcdep.2012.09.018
– reference: SetnikBSokolowskaMJohnsonFOldenhofJRomachMEvaluation of the safety, pharmacodynamic, and pharmacokinetic effects following oral coadministration of immediate-release morphine with ethanol in healthy male participantsHum Psychopharmacol2014292512651:CAS:528:DC%2BC2cXmsVGks7k%3D10.1002/hup.2394
– reference: ChihuriSLiGUse of prescription opioids and motor vehicle crashes: a meta analysisAccid Anal Prev201710912313110.1016/j.aap.2017.10.004
– reference: KingACde WitHMcNamaraPJCaoDRewarding, stimulant, and sedative alcohol responses and relationship to future binge drinkingArch Gen Psychiatry20116838939910.1001/archgenpsychiatry.2011.26
– reference: BerningAComptonRWochingerKResults of the 2013–2014 National Roadside Survey of alcohol and drug use by drivers. Traffic Safety Facts Research Note. Report No. DOT HS 812 1182015Washington, DCNational Highway Traffic Safety Administration
– reference: KingACCaoDde WitHO’ConnorSJHasinDSThe role of alcohol response phenotypes in the risk for alcohol use disorderBr J Psych20195e38131:CAS:528:DC%2BC1MXisVaiur7J
– reference: ZacnyJPGutierrezSSubjective, psychomotor, and physiological effects of oxycodone alone and in combination with ethanol in healthy volunteersPsychopharmacology (Berl)20112184714811:CAS:528:DC%2BC3MXmtlelsLk%3D10.1007/s00213-011-2349-6
– reference: LaceyJHKelley-BakerTBerningARomanoERamirezAYaoJMooreCBrainardKCarrKPellKComptonRDrug and alcohol crash risk: a case-control study (Report No. DOT HS 812 355)2016Washington, DCNational Highway Traffic Safety Administration
– reference: BernhoftIMHelsTLyckegaardAHouwingSVerstraeteAGPrevalence and risk of injury in Europe by driving with alcohol, illicit drugs and medicinesProcedia Soc Behav Sci2012482907291610.1016/j.sbspro.2012.06.1259
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  publication-title: J Clin Pharmacol
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  publication-title: Palliat Med
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  publication-title: Biol Psychiatry
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  publication-title: Traffic Inj Prev
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Snippet Rationale Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are...
Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are limited...
Rationale Epidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are...
RationaleEpidemiological data indicate that drivers testing positive for an opioid drug are twice as likely to cause a fatal car crash; however, there are...
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StartPage 539
SubjectTerms Acuity
Adult
Alcohol
Alcohols
Analysis
Biomedical and Life Sciences
Biomedicine
Blindness
Cross-Over Studies
Dose-Response Relationship, Drug
Double-Blind Method
Driving ability
Driving Under the Influence - psychology
Drug dosages
Drug Synergism
Drunk driving
Epidemiology
Ethanol - administration & dosage
Ethanol - adverse effects
Evaluation
Female
Humans
Male
Models, Psychological
Narcotics
Neurosciences
Opioid-Related Disorders - psychology
Opioids
Original Investigation
Oxycodone
Oxycodone - administration & dosage
Oxycodone - adverse effects
Pharmacology/Toxicology
Placebos
Psychiatry
Psychomotor Performance - drug effects
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Title Acute administration of oxycodone, alcohol, and their combination on simulated driving—preliminary outcomes in healthy adults
URI https://link.springer.com/article/10.1007/s00213-020-05702-w
https://www.ncbi.nlm.nih.gov/pubmed/33169203
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Volume 238
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