keyword
https://read.qxmd.com/read/36294858/should-reward-deficiency-syndrome-rds-be-considered-an-umbrella-disorder-for-mental-illness-and-associated-genetic-and-epigenetic-induced-dysregulation-of-brain-reward-circuitry
#1
JOURNAL ARTICLE
Kenneth Blum, Catherine A Dennen, Igor Elman, Abdalla Bowirrat, Panayotis K Thanos, Rajendra D Badgaiyan, B William Downs, Debasis Bagchi, David Baron, Eric R Braverman, Ashim Gupta, Richard Green, Thomas McLaughlin, Debmalya Barh, Mark S Gold
Reward Deficiency Syndrome (RDS) is defined as a breakdown of reward neurotransmission that results in a wide range of addictive, compulsive, and impulsive behaviors. RDS is caused by a combination of environmental (epigenetic) influences and DNA-based (genetic) neurotransmission deficits that interfere with the normal satisfaction of human physiological drives (i.e., food, water, and sex). An essential feature of RDS is the lack of integration between perception, cognition, and emotions that occurs because of (1) significant dopaminergic surges in motivation, reward, and learning centers causing neuroplasticity in the striato-thalamic-frontal cortical loop; (2) hypo-functionality of the excitatory glutamatergic afferents from the amygdala-hippocampus complex...
October 14, 2022: Journal of Personalized Medicine
https://read.qxmd.com/read/34949945/a-review-of-dna-risk-alleles-to-determine-epigenetic-repair-of-mrna-expression-to-prove-therapeutic-effectiveness-in-reward-deficiency-syndrome-rds-embracing-precision-behavioral-management
#2
REVIEW
Kenneth Blum, Bruce Steinberg, Marjorie C Gondre-Lewis, David Baron, Edward J Modestino, Rajendra D Badgaiyan, B William Downs, Debasis Bagchi, Raymond Brewer, Thomas McLaughlin, Abdalla Bowirrat, Mark Gold
This is a review of research on "Precision Behavioral Management" of substance use disorder (SUD). America is experiencing a high prevalence of substance use disorder, primarily involving legal and illegal opioid use. A 3000% increase in treatment for substance abuse has occurred between 2000 and 2016. Unfortunately, present day treatment of opioid abuse involves providing replacement therapy with powerful opioids to, at best, induce harm reduction, not prophylaxis. These interventions do not enhance gene expression and restore the balance of the brain reward system's neurotransmitters...
2021: Psychology Research and Behavior Management
https://read.qxmd.com/read/34770047/reward-deficiency-syndrome-rds-a-cytoarchitectural-common-neurobiological-trait-of-all-addictions
#3
JOURNAL ARTICLE
Kenneth Blum, Abdalla Bowirrat, Eric R Braverman, David Baron, Jean Lud Cadet, Shan Kazmi, Igor Elman, Panyotis K Thanos, Rajendra D Badgaiyan, William B Downs, Debasis Bagchi, Luis Llanos-Gomez, Mark S Gold
Alcohol and other substance use disorders share comorbidity with other RDS disorders, i.e., a reduction in dopamine signaling within the reward pathway. RDS is a term that connects addictive, obsessive, compulsive, and impulsive behavioral disorders. An estimated 2 million individuals in the United States have opioid use disorder related to prescription opioids. It is estimated that the overall cost of the illegal and legally prescribed opioid crisis exceeds one trillion dollars. Opioid Replacement Therapy is the most common treatment for addictions and other RDS disorders...
November 2, 2021: International Journal of Environmental Research and Public Health
https://read.qxmd.com/read/32070691/administration-of-a-putative-pro-dopamine-regulator-a-neuronutrient-mitigates-alcohol-intake-in-alcohol-preferring-rats
#4
JOURNAL ARTICLE
Naimesh Solanki, Tomilowo Abijo, Carine Galvao, Philippe Darius, Kenneth Blum, Marjorie C Gondré-Lewis
BACKGROUND: Excessive alcohol intake is a serious but preventable public health problem in the United States and worldwide. Alcohol and other substance use disorders occur co-morbid with more generalized reward deficiency disorders, characterized by a reduction in dopamine (DA) signaling within the reward pathway, and classically associated with increased impulsivity, risk taking and subsequent drug seeking behavior. It is postulated that increasing dopamine availability and thus restoring DA homeostasis in the mesocorticolimbic system could reduce the motivation to seek and consume ethanol...
February 15, 2020: Behavioural Brain Research
https://read.qxmd.com/read/31824737/death-by-opioids-are-there-non-addictive-scientific-solutions
#5
JOURNAL ARTICLE
B William Downs, Kenneth Blum, David Baron, Abdalla Bowirrat, Lisa Lott, Raymond Brewer, Brent Boyett, David Siwicki, A Kenison Roy, Arwen Podesta, Sampada Badgaiyan, Raju Hajela, Lyle Fried, Rajendra D Badgaiyan
In the face of the current Opioid crisis in America killing close to 800,000 people since 2004, we are proposing a novel approach to assist in at least attenuating these unwanted premature deaths. While we applaud the wonderful efforts of our governmental institutes and professional societies (NIDA, NIAAA, ASAM, ABAM ) in their extraordinary efforts in combating this continued dilemma, the current approach is failing, and other alternative approaches should at least be tested. These truths present a serious ethical dilemma to scientists, clinicians and counselors in the Reward Deficiency Syndrome (RDS) treatment community...
June 2019: Journal of Systems and Integrative Neuroscience
https://read.qxmd.com/read/31820688/hypodopaminergia-and-precision-behavioral-management-pbm-it-is-a-generational-family-affair
#6
Lyle Fried, Edward J Modestino, David Siwicki, Lisa Lott, Panayotis K Thanos, David Baron, Rajendra D Badgaiyan, Jessica V Ponce, James Giordano, William B Downs, Marjorie C Gondré-Lewis, Steinberg Bruce, Eric R Braverman, Brent Boyett, Kenneth Blum
BACKGROUND/AIMS: This case series presents the novel Genetic Addiction Risk Score (GARS®) coupled with a customized pro-dopamine regulator matched to polymorphic reward genes having a hypodopaminergic risk. METHODS: The proband is a female with a history of drug abuse and alcoholism. She experienced a car accident under the influence and voluntarily entered treatment. Following an assessment, she was genotyped using the GARS, and started a neuronutrient with a KB220 base indicated by the identified polymorphisms...
2020: Current Pharmaceutical Biotechnology
https://read.qxmd.com/read/30197787/-dopamine-homeostasis-requires-balanced-polypharmacy-issue-with-destructive-powerful-dopamine-agents-to-combat-america-s-drug-epidemic
#7
JOURNAL ARTICLE
Kenneth Blum, Edward J Modestino, Marjorie Gondré-Lewis, B William Downs, David Baron, Bruce Steinberg, David Siwicki, John Giordano, Thomas McLaughlin, Jennifer Neary, Mary Hauser, Lyle Fried, Rajendra D Badgaiyan
The well-researched pro-dopamine regulator KB220 and variants result in increased functional connectivity in both animal and human brains, and prolonged neuroplasticity (brain cell repair) having been observed in rodents. Moreover, in addition to increased functional connectivity, recent studies show that KB220Z increases overall brain connectivity volume, enhances neuronal dopamine firing, and eliminates lucid dreams in humans over a prolonged period. An unprecedented number of clinical studies validating this patented nutrigenomic technology in re-balancing brain chemistry and optimizing dopamine sensitivity and function have been published...
November 2017: Journal of Systems and Integrative Neuroscience
https://read.qxmd.com/read/29423319/improvement-of-long-term-memory-access-with-a-pro-dopamine-regulator-in-an-elderly-male-are-we-targeting-dopamine-tone
#8
JOURNAL ARTICLE
Thomas McLaughlin, David Han, James Nicholson, Bruce Steinberg, Kenneth Blum, Marcelo Febo, Eric Braverman, Mona Li, Lyle Fried, Rajendra Badgaiyan
With aging, there is decline in both short-term and long-term memory. This effect is magnified by epigenetic insults on specific, dopamine- related genes (e.g., DRD2, DAT1) as well as by impaired or reduced mRNA transcription. In addition, long-term memory ability is positively correlated with dopamine function and there is evidence that aging is associated with a reduction in brain dopamine D2 receptors, with an acceleration seen in aging-induced dementia. As a result, the authors tested the acute effect of a Pro-Dopamine Regulator (KB220Z, liquid Nano variant) on an aspect of long-term memory performance in a 77-year-old, highly functional male, using the Animal Naming Test (ANT)...
May 2017: Journal of Systems and Integrative Neuroscience
https://read.qxmd.com/read/29316800/pro-dopamine-regulator-kb220z-attenuates-hoarding-and-shopping-behavior-in-a-female-diagnosed-with-sud-and-adhd
#9
JOURNAL ARTICLE
Thomas McLaughlin, Kenneth Blum, Bruce Steinberg, Edward J Modestino, Lyle Fried, David Baron, David Siwicki, Eric R Braverman, Rajendra D Badgaiyan
Background Addictive-like behaviors (e.g., hoarding and shopping) may be the result of the cumulative effects of dopaminergic and other neurotransmitter genetic variants as well as elevated stress levels. We, therefore, propose that dopamine homeostasis may be the preferred goal in combating such challenging and unwanted behaviors, when simple dopaminergic activation through potent agonists may not provide any resolution. Case presentation C.J. is a 38-year-old, single, female, living with her mother. She has a history of substance use disorder as well as attention deficit hyperactivity disorder, inattentive type...
March 1, 2018: Journal of Behavioral Addictions
https://read.qxmd.com/read/28491463/-pro-dopamine-regulation-kb220z%C3%A2-as-a-long-term-therapeutic-modality-to-overcome-reduced-resting-state-dopamine-tone-in-opiate-opioid-epidemic-in-america
#10
JOURNAL ARTICLE
K Blum, F Marcelo, K Dushaj, L Fried, R D Badgaiyan
Since it is known that relapse, morality, and hospitalizations have been tied to the presence of the Dopamine D2 Receptor A1 allele, as one example, and carriers of this gene variant have a proclivity to favor amino-acid therapy, it seems intuitive that the incorporation of modalities to provide a balance and or restoration of hypodopaminergia should be considered as a front-line tactic to overcome the current American opiate/opioid epidemic, saving millions from death and unwanted locked-in-addiction. If we continue down the prim road path of fighting addiction to narcotics with narcotics, we are doomed to fail...
September 2016: Journal of Systems and Integrative Neuroscience
https://read.qxmd.com/read/28445527/enhanced-functional-connectivity-and-volume-between-cognitive-and-reward-centers-of-na%C3%A3-ve-rodent-brain-produced-by-pro-dopaminergic-agent-kb220z
#11
JOURNAL ARTICLE
Marcelo Febo, Kenneth Blum, Rajendra D Badgaiyan, Pablo D Perez, Luis M Colon-Perez, Panayotis K Thanos, Craig F Ferris, Praveen Kulkarni, John Giordano, David Baron, Mark S Gold
Dopaminergic reward dysfunction in addictive behaviors is well supported in the literature. There is evidence that alterations in synchronous neural activity between brain regions subserving reward and various cognitive functions may significantly contribute to substance-related disorders. This study presents the first evidence showing that a pro-dopaminergic nutraceutical (KB220Z) significantly enhances, above placebo, functional connectivity between reward and cognitive brain areas in the rat. These include the nucleus accumbens, anterior cingulate gyrus, anterior thalamic nuclei, hippocampus, prelimbic and infralimbic loci...
2017: PloS One
https://read.qxmd.com/read/28033474/hypothesizing-that-neuropharmacological-and-neuroimaging-studies-of-glutaminergic-dopaminergic-optimization-complex-kb220z-are-associated-with-dopamine-homeostasis-in-reward-deficiency-syndrome-rds
#12
JOURNAL ARTICLE
Kenneth Blum, Marcelo Febo, Lyle Fried, Mona Li, Kristina Dushaj, Eric R Braverman, Thomas McLaughlin, Bruce Steinberg, Rajendra D Badgaiyan
BACKGROUND: There is need for better treatments of addictive behaviors, both substance and non-substance related, termed Reward Deficiency Syndrome (RDS). While the FDA has approved pharmaceuticals under the umbrella term Medication Assisted Treatment (MAT), these drugs are not optimal. OBJECTIVES: It is our contention that these drugs work well in the short-term by blocking dopamine function leading to psychological extinction. However, use of buprenorphine/Naloxone over a long period of time results in unwanted addiction liability, reduced emotional affect, and mood changes including suicidal ideation...
March 21, 2017: Substance Use & Misuse
https://read.qxmd.com/read/27610420/low-resolution-electromagnetic-tomography-loreta-of-changed-brain-function-provoked-by-pro-dopamine-regulator-kb220z-in-one-adult-adhd-case
#13
JOURNAL ARTICLE
Bruce Steinberg, Kenneth Blum, Thomas McLaughlin, Joel Lubar, Marcelo Febo, Eric R Braverman, Rajendra D Badgaiyan
Attention Deficit-Hyperactivity Disorder (ADHD) often continues into adulthood. Recent neuroimaging studies found lowered baseline dopamine tone in the brains of affected individuals that may place them at risk for Substance Use Disorder (SUD). This is an observational case study of the potential for novel management of Adult ADHD with a non-addictive glutaminergic-dopaminergic optimization complex KB200z. Low-resolution electromagnetic tomography (LORETA) was used to evaluate the effects of KB220z on a 72-year-old male with ADHD, at baseline and one hour following administration...
2016: Open Journal of Clinical & Medical Case Reports
https://read.qxmd.com/read/26306327/reward-deficiency-syndrome-attentional-arousal-subtypes-limitations-of-current-diagnostic-nosology-and-future-research
#14
JOURNAL ARTICLE
Edward Justin Modestino, Kenneth Blum, Marlene Oscar-Berman, Mark S Gold, Drake D Duane, Sarah G S Sultan, Sanford H Auerbach
We theorise that in some cases Attention Deficit Hyperactivity Disorder (ADHD) predisposes to narcolepsy and hypersomnia, and that there may be a shared pathophysiology with various addictions [Reward Deficiency Syndrome (RDS)]. Reticence to acknowledge such connections may be due to a narrow nosological framework. Additionally, we theorise that the development of narcolepsy on a baseline of ADHD/RDS leads to an additional assault on the dopaminergic reward system in such individuals. In this study, we propose to test these hypotheses by using a combination of broad genetic screening, and neuroimaging with and without pharmacological intervention, in those with pure ADHD, pure narcolepsy, and the combined ADHD-narcolepsy phenotype...
2015: Journal of Reward Deficiency Syndrome
https://read.qxmd.com/read/26132915/putative-dopamine-agonist-kb220z-attenuates-lucid-nightmares-in-ptsd-patients-role-of-enhanced-brain-reward-functional-connectivity-and-homeostasis-redeeming-joy
#15
JOURNAL ARTICLE
Thomas McLaughlin, Kenneth Blum, Marlene Oscar-Berman, Marcelo Febo, Gozde Agan, James L Fratantonio, Thomas Simpatico, Mark S Gold
BACKGROUND: Lucid dreams are frequently pleasant and training techniques have been developed to teach dreamers to induce them. In addition, the induction of lucid dreams has also been used as a way to ameliorate nightmares. On the other hand, lucid dreams may be associated with psychiatric conditions, including Post-Traumatic Stress Disorder (PTSD) and Reward Deficiency Syndrome-associated diagnoses. In the latter conditions, lucid dreams can assume an unpleasant and frequently terrifying character...
June 2015: Journal of Behavioral Addictions
https://read.qxmd.com/read/26065033/using-the-neuroadaptagen-kb200z%C3%A2-to-ameliorate-terrifying-lucid-nightmares-in-rds-patients-the-role-of-enhanced-brain-reward-functional-connectivity-and-dopaminergic-homeostasis
#16
JOURNAL ARTICLE
Thomas McLaughlin, Kenneth Blum, Marlene Oscar-Berman, Marcelo Febo, Zsolt Demetrovics, Gozde Agan, James Fratantonio, Mark S Gold
BACKGROUND: Lucid Dreams are a form of dream life, during which the dreamer may be aware that he/she is dreaming, can stop/re-start the dreams, depending on the pleasantness or unpleasant nature of the dream, and experiences the dream as if he/she were fully awake. Depending on their content, they may be pleasant, un-pleasant or terrifying, at least in the context of patients, who also exhibit characteristics of Reward Deficiency Syndrome (RDS) and Posttraumatic Stress Disorder (PTSD)...
2015: Journal of Reward Deficiency Syndrome
https://read.qxmd.com/read/25526228/rsfmri-effects-of-kb220z%C3%A2-on-neural-pathways-in-reward-circuitry-of-abstinent-genotyped-heroin-addicts
#17
RANDOMIZED CONTROLLED TRIAL
Kenneth Blum, Yijun Liu, Wei Wang, Yarong Wang, Yi Zhang, Marlene Oscar-Berman, Andrew Smolen, Marcelo Febo, David Han, Thomas Simpatico, Frans J Cronjé, Zsolt Demetrovics, Mark S Gold
Recently, Willuhn et al. reported that cocaine use and even non-substance-related addictive behavior increases as dopaminergic function is reduced. Chronic cocaine exposure has been associated with decreases in D2/D3 receptors and was also associated with lower activation of cues in occipital cortex and cerebellum, in a recent PET study by Volkow's et al. Therefore, treatment strategies, like dopamine agonist therapy, that might conserve dopamine function may be an interesting approach to relapse prevention in psychoactive drug and behavioral addictions...
March 2015: Postgraduate Medicine
https://read.qxmd.com/read/24273683/withdrawal-from-buprenorphine-naloxone-and-maintenance-with-a-natural-dopaminergic-agonist-a-cautionary-note
#18
JOURNAL ARTICLE
Kenneth Blum, Marlene Oscar-Berman, John Femino, Roger L Waite, Lisa Benya, John Giordano, Joan Borsten, William B Downs, Eric R Braverman, Raquel Loehmann, Kristina Dushaj, David Han, Thomas Simpatico, Mary Hauser, Debmalya Barh, Thomas McLaughlin
BACKGROUND: While numerous studies support the efficacy of methadone and buprenorphine for the stabilization and maintenance of opioid dependence, clinically significant opioid withdrawal symptoms occur upon tapering and cessation of dosage. METHODS: We present a case study of a 35 year old Caucasian female (Krissie) who was prescribed increasing dosages of prescription opioids after carpel tunnel surgery secondary to chronic pain from reflex sympathetic dystrophy and fibromyalgia...
April 23, 2013: Journal of Addiction Research & Therapy
https://read.qxmd.com/read/21858957/neurogenetics-and-clinical-evidence-for-the-putative-activation-of-the-brain-reward-circuitry-by-a-neuroadaptagen-proposing-an-addiction-candidate-gene-panel-map
#19
JOURNAL ARTICLE
Thomas J H Chen, Kenneth Blum, Amanda L C Chen, Abdalla Bowirrat, William B Downs, Margret A Madigan, Roger L Waite, John A Bailey, Mallory Kerner, Swetha Yeldandi, Neil Majmundar, John Giordano, Siohban Morse, David Miller, Frank Fornari, Eric R Braverman
This document presents evidence supporting the role of the KB220/KB220Z neuroadaptagens consisting of amino-acid neurotransmitter precursors and enkephalinase-catecholamine-methyl-transferase (COMT) inhibition therapy called Neuroadaptagen Amino Acid Therapy (NAAT) in brain reward function. It is becoming increasingly clear that this novel formulation is the first neuroadaptagen known to activate the brain reward circuitry. Ongoing research repeatedly confirms the numerous clinical effects that ultimately result in significant benefits for victims having genetic antecedents for all addictive, compulsive and impulsive behaviors...
2011: Journal of Psychoactive Drugs
https://read.qxmd.com/read/21084796/overcoming-qeeg-abnormalities-and-reward-gene-deficits-during-protracted-abstinence-in-male-psychostimulant-and-polydrug-abusers-utilizing-putative-dopamine-d%C3%A2-agonist-therapy-part-2
#20
RANDOMIZED CONTROLLED TRIAL
Kenneth Blum, Thomas J H Chen, Siobhan Morse, John Giordano, Amanda Lih Chaun Chen, James Thompson, Cameron Allen, Andrew Smolen, Joel Lubar, Eric Stice, B William Downs, Roger L Waite, Margaret A Madigan, Mallory Kerner, Frank Fornari, Eric R Braverman
BACKGROUND: It is well established that in both food- and drug-addicted individuals there is "dopamine resistance" associated with the DRD2 gene A1 allele. Based on earlier studies, evidence is emerging wherein the potential of utilizing a natural, nonaddicting, safe, putative D2 agonist may play a significant role in the recovery of individuals with reward deficiency syndrome, including those addicted to psychoactive chemicals. FINDINGS: Positive outcomes demonstrated by quantitative electroencephalographic (qEEG) imaging in a randomized, triple-blind, placebo-controlled, crossover study involving oral Synaptose Complex KB220Z™ showed an increase of alpha waves and low beta wave activity in the parietal brain region...
November 2010: Postgraduate Medicine
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