Ritanserin in the treatment of cocaine dependence.

Abstract:

:Sixty-five cocaine-dependent subjects were enrolled into a 10-week randomized, double-blind study to determine the safety and efficacy of the serotonin-2 receptor antagonist, ritanserin (10 mg/day), in reducing cocaine consumption and craving. All subjects also participated in a structured intensive outpatient psychosocial program. Seventy-three percent of the participants completed the treatment program and follow-up. Subjects experienced a significant reduction in craving: 66.4% and 32.5% for the placebo and ritanserin groups, respectively. These reductions in craving were not paralleled by substantial decreases in cocaine use. Self-reported cocaine use was less frequent in the placebo group; paradoxically, blood levels of its metabolite, benzoylecgonine, were also higher although insignificantly so. Generally, ritanserin was well tolerated but significantly prolonged the QTc interval on the electrocardiogram. This outpatient program is effective at maintaining cocaine-dependent individuals in treatment and reducing craving. Ritanserin (10 mg/day) is not an efficacious adjunct to psychosocial treatment for cocaine dependence.

journal_name

Biol Psychiatry

journal_title

Biological psychiatry

authors

Johnson BA,Chen YR,Swann AC,Schmitz J,Lesser J,Ruiz P,Johnson P,Clyde C

doi

10.1016/S0006-3223(96)00490-8

subject

Has Abstract

pub_date

1997-11-15 00:00:00

pages

932-40

issue

10

eissn

0006-3223

issn

1873-2402

pii

S0006-3223(96)00490-8

journal_volume

42

pub_type

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