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Human Body & Health

Why does chronic opioid use increase the risk of relapse after detoxification, related to the brain's reward circuitry?

A)Downregulation of serotonin reuptake transporters
B)Sensitization of the nucleus accumbens neurons
C)Decreased GABAergic inhibitory interneuron activity
D)Upregulation of muscarinic acetylcholine receptors

💡 Explanation

Chronic opioid use leads to neural adaptations, including sensitization of the nucleus accumbens in the reward circuit because repeated exposure alters neuronal excitability. Therefore, even after detoxification, the brain's heightened sensitivity increases craving and relapse vulnerability, rather than receptor changes.

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