“…Although 5-HT 2A receptor antagonists (e.g., ketanserin, MDL100907), and inverse agonists (e.g., pimavanserin) appear to be more effective at reducing the reinstatement of extinguished responding, than at decreasing the ongoing self-administration of drugs, such as cocaine, MDMA, and nicotine (Lacosta & Roberts, 1993; Howell & Byrd, 1995; Fletcher et al, 2002; 2012; Nic Dhonnchada et al, 2009; Pockros et al, 2011; Murnane et al, 2013; Cousins et al, 2014; Schenk et al, 2016; Banks & Negus, 2017; but see Fantegrossi et al, 2002), 5-HT 2C receptor agonists appear to be effective in both the self-administration and reinstatement models of substance abuse. With regard to the development of 5-HT 2C receptor agonists as pharmacotherapies for substance abuse, the vast majority of preclinical evidence supporting this indication is from studies using Ro 60-0175, an agonist that is ~14-fold selective for 5-HT 2C over 5-HT 2A receptors in vitro (Table 1).…”