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  • Title: Serum cortisol secretion during heroin abstinence is elevated only nocturnally.
    Author: Li SX, Li J, Epstein DH, Zhang XY, Kosten TR, Lu L.
    Journal: Am J Drug Alcohol Abuse; 2008; 34(3):321-8. PubMed ID: 18428074.
    Abstract:
    Several studies indicate abnormalities in the hypothalamic-pituitary-adrenal axis (HPA) during acute opiate withdrawal, but protracted withdrawal has gotten less study. The current study further characterized the 24-hour time course of plasma cortisol levels in heroin-dependent individuals who were abstinent for 10-15 days, which is beyond the 5 days of acute withdrawal, compared to demographically matched healthy controls using samples collected every 3 hours over 24 hours and assessed with radioimmunoassay (RIA). The abstinent heroin-dependent participants had significantly higher plasma cortisol levels nocturnally suggesting a loss of diurnal variation in these heroin subjects.
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