10-13-2005, 10:42 PM
Are drugs like wellbutrin being used to treat cocaine addiction since both (cocaine and wellbutrin) are dopamine reuptake inhibitors? The drug Vanoxerine is a dopamine reuptake inhibitor, and has been shown in some clinical trials to treat cocaine addiction, at least in rats and primates. Wellbutrin has also been used to treat smoking addiction, one study wellbutrin users were 3.5x more likely to quit smoking than placebo users.
Since wellbutrin is so well known has it itself been used to treat cocaine addiction? I have searched pubmed and can't find any articles. Would its mechanism allow it to treat cocaine or methamphetamine addiction, or do methamphetamine and cocaine have a stronger attraction to the dopamine reuptake pump and would just replace wellbutrin?
10-13-2005, 11:25 PM
Although I don't think Wellbutrin would stop cocaine's effects, it could definitely help decrease the craving. As a staring point, you could check out this (http://ajp.psychiatryonline.org/cgi/content/abstract/162/8/1423) review article.
Searching Pubmed.com, I was able to find numerous articles like this one:
Addict Dis. 2002;21(2):1-16. Bupropion treatment for cocaine abuse and adult attention-deficit/hyperactivity disorder. Levin FR, Evans SM, McDowell DM, Brooks DJ, Nunes E.
Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York 10032, USA.
here's the abstract:
There are few published studies assessing the efficacy of pharmacologic treatments for attention-deficit hyperactivity disorder (ADHD) among substance abusers seeking treatment. Eleven patients who met DSM-IV diagnostic criteria for cocaine dependence and adult ADHD were entered into a 12-week single-blind trial of divided daily doses of bupropion (BPR). All patients received weekly individual standardized relapse prevention therapy. Treatment compliance and retention were good. Patients reported significant reductions in attention difficulties, hyperactivity and impulsivity. Self-reported cocaine use, cocaine craving, and cocaine positive toxicologies, also decreased significantly. In a previously published trial, 12 patients who met similar diagnostic criteria for adult ADHD and cocaine dependence were entered into a 12-week trial of divided daily doses of sustained-release methylphenidate (MPH). Improvements observed on BPR were similar to, and did not differ from those previously observed with MPH. These preliminary data suggest that BPR may be as effective as sustained-release MPH, when combined with relapse prevention therapy, for cocaine abusers with adult ADHD. However, a future study directly comparing BPR to MPH in a double-blind placebo-controlled trial is needed.
vBulletin® v3.7.3, Copyright ©2000-2013, Jelsoft Enterprises Ltd.