The faster, the more addictive: food, drugs, and love. The faster and higher the dopamine spikes, the higher the risk of addiction and the greater the euphoria. Conversely, the slower and longer the reward, the less significant it seems (temporal discounting). Research reveals that the faster a drug reaches the brain, the more likely it is to be addictive. For example, the reported maximum euphoria is highest for smoked cocaine (time to peak effects: 1.4 min), followed by intravenous (3.1 min) and then intranasal (14.6 min) routes of administration. The fastest methods are smoking, followed by injection, inhalation, and then ingestion. It turns out that the speed factor activates the brain's "salience network" and causes desensitization to the substance (=risk of addiction). A corticostriatal circuit comprising the dorsal anterior cingulate cortex and insula and their connections with the dorsal caudate, which is activated by fast dopamine increases and parall...
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