Effectiveness of GABA Agonists in Reducing the Reinforcing Effects of Cocaine
Cocaine-Related DisordersCocaine abuse continues to represent a significant public-health concern. Cocaine likely creates its addictive effects by increasing levels of dopamine, a chemical found in the brain. GABA agonists are chemicals that have the opposite effect of cocaine by inhibiting the release of dopamine. The purpose of this study is to determine whether GABA agonists reduce the psychological and physiological reinforcing effects of cocaine.
Disulfiram for Treating Cocaine Dependence in Individuals Maintained on Methadone
Cocaine-Related DisordersOpioid-Related DisordersCocaine is an extremely addictive stimulant drug that directly affects the brain. It is used in several different forms and can be snorted, smoked, or injected to achieve the desired effect. Cocaine users are at risk for many health problems, both directly and indirectly related to the effects of cocaine. Disulfiram, a drug used to treat chronic alcoholism, may be effective in reducing cocaine use. This study will evaluate the effectiveness of three different doses of disulfiram in treating cocaine dependence in opioid- and cocaine-dependent individuals maintained on methadone.
Valproate Efficacy in Cocaine-Bipolar Comorbidity
Bipolar DisorderCocaine DependenceThis proposal will test the efficacy of a promising pharmacological approach for the treatment of comorbid cocaine dependence and bipolar disorder. We propose a randomized, double blind, placebo controlled 12-week trial to test the efficacy of Divalproex sodium (Valproate) plus treatment as usual compared to placebo plus treatment as usual in decreasing cocaine use and stabilizing mood symptoms among patients with comorbid cocaine dependence and bipolar disorder. Treatment as usual includes the use of lithium carbonate for mood stabilization plus supportive psychosocial treatment.
Mirtazapine for Treating Cocaine Dependent Individuals Who Also Suffer From Depression
Cocaine DependenceDepressionMany substance dependent individuals also suffer from depression. Past research suggests that antidepressant medication is helpful in treating such individuals. This study will determine the effectiveness of mirtazapine, an antidepressant medication, in treating cocaine dependent individuals who also suffer from depression. This study includes free treatment for cocaine dependence that includes medication and a behavioral intervention.
Topiramate for Alcohol and Cocaine Dependence
AlcoholismCocaine DependenceThe primary purpose of this study is to test the effectiveness of topiramate for the treatment of combined alcohol and cocaine dependence. Topiramate is approved for the treatment of seizures. It has not been proven to be effective for the treatment of alcohol or cocaine dependence.
Effectiveness and Costs of Enhanced Cocaine Treatments
Cocaine DependenceThe study will evaluate the effectiveness, economic benefits, and costs of voucher reinforcement for cocaine and alcohol abstinence, additional counseling services, and their combination in a sample of cocaine dependent patients receiving outpatient treatment as usual in a community clinic.
Selegiline Transdermal System for the Treatment of Cocaine Dependence - 1
Cocaine-Related DisordersThe purpose of this study is to evaluate the Selegiline Transdermal System for the treatment of cocaine dependence.
A Study of Cabergoline for the Treatment of Cocaine Dependence - 1
Cocaine-Related DisordersSubstance-Related DisordersThe purpose of this study is to assess cabergoline for the Treatment of Cocaine Dependence
Tryptophan and Behavior Therapy for Cocaine Abuse - 1
Cocaine-Related DisordersThe purpose of this study is to assess the efficacy of tryptophan vs. placebo, and voucher payments vs. a control condition, in the treatment of cocaine dependence.
High Dose Nimodipine Treatment Adjunct - 1
Cocaine-Related DisordersThe purpose of this study is to determine if nimodipine is more effective than placebo in reducing stimulated craving for cocaine in cocaine dependent individuals denied access to cocaine in inpatient unit.