We investigated the possible relation between the endogenous opioid sy
stem and acute alcoholic intoxication in 21 subjects, of whom 13 were
drinkers who came to the emergency service with evident symptoms of dr
unkenness, and 8 were nondrinkers who consumed 1 g alcohol per kg body
weight over a short period. Different patterns of changes were found
in the two groups for plasma concentrations of beta-endorphin and adre
nocorticotropic hormone. In drinkers, plasma levels of both substances
increased, whereas in nondrinkers both concentrations decreased, the
declines being especially notable 15, 30, and 45 min after ingestion.
We found no differences between the two groups in plasma cortisol conc
entrations. The different levels of these substances may reflect diffe
rences in drinking behavior between the two groups.