“…Preclinical studies have shown that many of the addictive cocaine actions are mediated by an increase in DA, NE, and 5-HT release and activation of the different subtypes of DA, NE, and 5-HT receptors (D 1 , D 2 , a 1/2 , 5-HT 1 , 5-HT 2A/C and 5-HT 3 ) in cortical and subcortical areas (Fletcher et al, 2002;Vanderschuren et al, 2003). These studies show that 1) 5-HT 2A (ketanserin) and 5-HT 3 (ondansetron or tropisetron) receptor antagonists attenuate cocaine-induced locomotor sensitization and conditioned place preference (Zayara et al, 2011;King et al, 2000King et al, , 2002, cocaine self-administration (Pockros et al, 2011;Nic Dhonnchadha et al, 2009;Zhou et al, 2019), the Fos protein expression (Pockros et al, 2012;Humblot et al, 1998), and the cocaine-induced dopamine release (Auclair et al, 2004;Matell and King, 1997) and that 2) a 2 NE (clonidine) 5-HT 1A (8-OH-DPAT) and 5-HT 2c (Ro 60-0175) receptor agonists decrease cocaine-induced locomotor sensitization, inhibits cocaine-induced Fos expression, attenuated cocaine-induced reinstatement, and decrease cocaine-induced dopamine within the nucleus accumbens Based on these studies, various clinical and preclinical studies have evaluated the e cacy of different antidepressants (pindolol, uoxetine, trazodone, mirtazapine; Yaman and Bal, 2022; Agius et al, 2013;Gerra et al, 1995;Glatz et al, 2002;McMillen et al, 1994;Small and Purcell, 1985), antipsychotics (risperidone, ziprasidone; Okada et al, 2020;Loebl et al, 2008;Fukushiro et al, 2008;Duggal, 2007), antiemetic (ondansetron; Blevins et al, 2021;Johnson et al, 2006), and hypertensives drugs (prazosin; Tapp et al, 2006;Haile et al, 2012;Barbosa-Mendez et al, 2017d), to decrease the cocaine reinforcers effects. The rationale for this strategy is that these medications incorporate simultaneous (multitarget) NE α 1/2 or serotonin 5-HT 1A , 5-HT 2A/C , and 5-HT 3 receptors antagonism or agonism in their mechanism of action.…”