Randomized, placebo-controlled trial of baclofen and gabapentin for the treatment of methamphetamine dependence.

Abstract:

OBJECTIVE:To conduct a 16-week, randomized, placebo-controlled, double-blind trial of two GABAergic medications, baclofen (20 mg tid) and gabapentin (800 mg tid), for the treatment of methamphetamine dependence. METHODS:Adults with methamphetamine dependence were randomized to one of three conditions for 16 weeks: baclofen (n = 25), gabapentin (n = 26) or placebo (n = 37). All participants attended clinic thrice weekly to receive study medication and psychosocial counseling, complete study assessments, and provide urine samples. RESULTS:No statistically significant main effects for baclofen or gabapentin in reducing methamphetamine use were observed using a generalized estimating equation (GEE). A significant treatment effect was found in post hoc analyses for baclofen, but not gabapentin, relative to placebo among participants who reported taking a higher percentage of study medication (significant treatment group and medication adherence interaction in GEE model of methamphetamine use). CONCLUSIONS:While gabapentin does not appear to be effective in treating methamphetamine dependence, baclofen may have a small treatment effect relative to placebo. Future studies evaluating the effectiveness of baclofen and other GABAergic agents for treatment of methamphetamine may be warranted.

journal_name

Drug Alcohol Depend

authors

Heinzerling KG,Shoptaw S,Peck JA,Yang X,Liu J,Roll J,Ling W

doi

10.1016/j.drugalcdep.2006.03.019

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

177-84

issue

3

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(06)00164-5

journal_volume

85

pub_type

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