3.8 Article

Overcoming reward deficiency syndrome by the induction of dopamine homeostasis instead of opioids for addiction: illusion or reality?

Journal

JOURNAL OF OSTEOPATHIC MEDICINE
Volume 122, Issue 7, Pages 333-337

Publisher

WALTER DE GRUYTER GMBH
DOI: 10.1515/jom-2021-0026

Keywords

addiction; dopamine homeostasis; reward deficiency syndrome

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Addiction is a preventable disorder caused by dopamine imbalance in the brain's reward system. The article discusses the importance of restoring dopamine balance through osteopathic principles and various potential therapeutic modalities.
Many individuals in the United States are plagued by addiction, and the rate at which it is affecting people in the United States only seems to be increasing. Research shows that addiction is a preventable disorder rather than a flaw in one's moral fiber. It is driven by the imbalance of dopamine and the brain's reward system. Although medication-assisted treatment (MAT), the most common treatment for addiction, are effective in reducing harm, they provide minimal aid in addressing the root cause of this preventable disorder. The authors aim to convey that the proper treatment should help restore dopamine balance so the quality of life can be improved in the recovering community. Osteopathic principles emphasize the importance of homeostasis and allostasis in allowing the body to heal itself. Viewing reward deficiency syndrome (RDS) through this osteopathic lens can bring about treatments that aim to restore the dopamine homeostasis. The article discusses various potential therapeutic modalities that can provide dopamine homeostasis via activation of dopaminergic pathways.

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