I've seemed to find myself on a wild goose chase on the most effective methods of down regulating k-opioid.
There are drugs being developed like ALKS-5461, which is a combination drug of Buprenorphine and a μ-opioid receptor antagonist (to block addictive potential and additional side effects of buprenorphine.)
Buprenorphine is a k-opioid receptor antagonist which alone is proven to be effective in treating various ailments including depression, anxiety, and depersonalization.
There is quite a bit of increasing interest in kappa-opiod's role in mental health.
Obviously the pharmaceutical industry is in the business to make money, as a majority of all leading drugs pushed by healthcare make everyone recurring revenue.
It's no secrete that most any level of prolonged antagonist or agonist action will inversely up or down regulate the system people are trying to heal.
Along all of the k-opiod hype, i have found that there is a similar rate of anecdotal evidence where people are self medicating with things like Salvia (which greatly agonizes KOR) In claimed success of downregulating their KOR in times they need it, like during the day. I hope to get some people experimenting with this to chime in.
My biggest question is this. What is the currently recognized best way of actually achieving acceptable results in this?
Daily antagonism and tapering off when needed?
Agonists at safe times to down regulate in more long term manner?
Or, hopefully, there is a better more efficient method or theories that exist or are being pursued.
Obviously the correct answer wont be either of the two methods because they are not permanent and probably don't solve the root problems of how these imbalances were brought about.
But I'm interested in discussion, and hope to get pointed in some good research on the mater.
If there are multiple methods of achieving something, people should know the one with the best success rate to try first.
thanks