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Dopamine

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Prime Suspect
They don't yet know the precise mechanism by which it works,
but scientists are increasingly convinced that dopamine plays
a key role in a wide range of addictions, including those to
heroine, nicotine, alcohol and marijuana.

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The moment you take that puff, trillions of potent molecules surge through your blood stream
and into your brain. Once there, they set off a cascade of chemical and electrical events, a kind
of neurological chain reaction that ricochets around the skull and rearranges the interior
reality of the mind.

Given the complexity of these events, and the inner workings of the mind in general, it's not
suprising that scientists have struggled mightily to make sense of the mechanisms of addiction.
Why do certain substances have the power to make us feel so good (at least at first)?
Why do some people fall so easily into the thrall of alcohol, cocaine, nicotine and other
addictive substances, while others can, literally, take them or leave them?

The answer, many scientists are convinced, may be simpler than anyone has dared
imagined. What ties all of these mood altering drugs together, they say, is a remarkable
ability to elevate levels of a common substance in the brain called dopamine.
In fact, so overwhelming has evidence of the link between dopamine and drugs of abuse
become that the distinction (pushed primarily by the tobacco industry and it's supporters)
between substances that are addictive and those that are merely habit-forming has very
nearly been swept away.

The Liggett Group, smallest of the U.S.'s Big Five cigarette makers, broke ranks in March
and conceded not only that tobacco is addictive but also that the company has known it
all along. While RJR Nabisco and others continue to battle in courts, insisting that smokers
are not hooked, just exercising free choice, their denials ring increasingly hollow in the face
of growing weight of evidence. Over the past year, several scientific groups have made the
case that in dopamine-rich areas of the brain, nicotine behaves remarkably like cocaine.
And a federal judge has ruled for the first time that the Food and Drug Administration has
the right to regulate tobacco as a drug and cigarettes as a drug delivery device.

The Dopamine Cycle

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