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. 2016 Apr;68(2):242–263. doi: 10.1124/pr.115.011163

TABLE 1.

Sex differences in addiction to different classes of drugsa

Drug
Species
Stage of Addiction Cycle
Binge/Intoxication
Withdrawal/Negative Affect
Preoccupation/Anticipation
Alcohol Humans • Escalation of use F > M (qualitative) • Negative affect F > M (qualitative) • Stress or anxiety-induced relapse F > M (qualitative)
• Amount of intake M > F (quantitative)
• Incidence M > F (population)
Rodents • Amount of intake F > M (quantitative) • Withdrawal symptoms M > F (quantitative) • Stress-induced reinstatement F > M (qualitative)
• In some studies intake does not differ F = M
Cocaine Humans • Escalation of use F > M (qualitative) • Negative affect F > M (qualitative) • Stress-induced relapse F > M (qualitative)
• Amount of intake F > M (quantitative) • Cue-induced relapse F > M (qualitative)
• Incidence M > F (population) • Cue-induced craving F > M (qualitative)
Rodents • Escalation of use F > M (qualitative) • Withdrawal symptoms F > M (quantitative) • Stress-induced reinstatement F > M (qualitative)
• Amount of intake and motivation F > M (quantitative) • Cue-induced reinstatement F > M (qualitative)
• Incidence F > M (population)
Opiates Humans • Incidence M > F (population)
Rodents • Reward/conditioned place preference F > M (quantitative) • Symptoms/duration of symptoms M > F (quantitative)
• Acquisition of self-administration F faster than M (qualitative) • Acoustic startle as withdrawal index M = F (quantitative)
• Motivation F > M (quantitative)
Nicotine Humans • Stress promotes initiation in women (qualitative) • Negative affect F > M (qualitative) • Higher cortisol predicts relapse in women (qualitative)
• Women acquire self-administration at lower doses than men (quantitative) • Lower cortisol and craving predict relapse in men (qualitative)
• Amount of intake F > M (quantitative) • Stress promotes relapse in women (qualitative)
Rodents • Stress promotes initiation in females and not males (qualitative) • Stress and anxiety F > M (quantitative) • No sex difference in stress-induced reinstatement
• Greater physical signs of withdrawal F > M (quantitative) • Stress promotes relapse in females (qualitative)
Cannabinoids Humans • Women report enhanced subjective ratings in response to smoked cannabis and progress from use to disordered use more rapidly than men (qualitative)
Rodents • F acquire faster than M (quantitative) • Anxiogenic symptoms F > M (qualitative); Anxiolytic symptoms M > F (qualitative); No sex differences in precipitated withdrawal • Cue-induced reinstatement F > M (qualitative)
• Amount of intake F > M (quantitative)
a

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