2002
DOI: 10.1046/j.1360-0443.2002.00209.x
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Pharmacological treatment of cocaine dependence: a systematic review

Abstract: There is no current evidence supporting the clinical use of CBZ, antidepressants, dopamine agonists, disulfiram, mazindol, phenytoin, nimodipine, lithium and NeuRecover-SA in the treatment of cocaine dependence. Larger randomized investigation must be considered, while taking into account that these time-consuming efforts should be reserved for medications showing more relevant and promising evidence. Given the high dropout rate among the test population, clinicians may wish to consider adding psychotherapeuti… Show more

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Cited by 158 publications
(107 citation statements)
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References 50 publications
(51 reference statements)
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“…Attrition in cocaine treatment trials is a problem across treatment modalities. Pharmacologic treatment trials for cocaine dependence report dropout rates of 0-84% (de Lima et al, 2004). Psychotherapy treatment trials for cocaine dependence report dropout rates of 29-41% (Kang et al, 1991;Simpson et al, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…Attrition in cocaine treatment trials is a problem across treatment modalities. Pharmacologic treatment trials for cocaine dependence report dropout rates of 0-84% (de Lima et al, 2004). Psychotherapy treatment trials for cocaine dependence report dropout rates of 29-41% (Kang et al, 1991;Simpson et al, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…Illicit psychostimulant abuse, and in particular cocaine, represents a serious social and health concern in many countries, inducing significant mortality and morbidity (de Lima et al, 2002;O'Brien and Anthony, 2005). There is, however, no effective pharmacological treatment available for cocaine dependence (Gawin and Ellinwood, 1989;Jaffe et al, 1989;Stewart, 2000;de Lima et al, 2002;Soares et al, 2003).…”
Section: Introductionmentioning
confidence: 99%
“…There is, however, no effective pharmacological treatment available for cocaine dependence (Gawin and Ellinwood, 1989;Jaffe et al, 1989;Stewart, 2000;de Lima et al, 2002;Soares et al, 2003).…”
Section: Introductionmentioning
confidence: 99%
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“…Effective agonist and antagonist pharmacotherapies as well as symptomatic treatments exist for opioid dependence, but neither agonists nor antagonists have been approved as uniquely effective for treatment of stimulant abuse or dependence (Grabowski, Shearer, Merrill, & Negus, 2004). There is no current evidence supporting the clinical use of carbamazepine (Tegretol), antidepressants, dopamine agonists (drugs commonly used to treat Parkinson's and Restless Leg Syndrome), disulfiram (Antabuse), mazindol (an experimental anorectic), phenytoin (Dilantin), nimodipine (Nimotop), lithium, and other pharmacological agents in the treatment of cocaine dependence (de Lima, de Oliveira Soares, Reisser, & Farrell, 2002;Venneman et al, 2006). Because no proven effective pharmacological interventions are available for cocaine addiction or for methamphetamine addiction, treatment of stimulant addiction has to rely on existing CBTs or CBT combined with other biobehavioral approaches (Van den Brink & van Ree, 2003).…”
Section: Clinical Considerations: Cognitive-behavioral and Neurofeedbmentioning
confidence: 99%