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A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence.

A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence. Research Abstract Details 

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  • A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence. Abstract Text:

    bankole a johnsonBankole A Johnson,john d roacheJohn D Roache,nassima ait-daoudNassima Ait-Daoud,martin a javorsMartin A Javors,joseph m harrisonJoseph M Harrison,ahmed elkashefAhmed Elkashef,jurij mojsiakJurij Mojsiak,shou-hua liShou-Hua Li,daniel a blochDaniel A Bloch,

    Prior studies have demonstrated inefficacy among dopamine receptor antagonists for treating cocaine dependence. An alternative approach would be to investigate the ability of indirect inhibitors of cortico-mesolimbic dopamine release, such as the 5-HT(3) receptor antagonist ondansetron, to reduce cocaine's reinforcing effects. We hypothesized that ondansetron might be more efficacious than placebo at reducing cocaine intake and promoting abstinence in cocaine-dependent individuals. In a pilot randomized, double-blind, 10-week controlled trial, 63 treatment-seeking, cocaine-dependent men and women received ondansetron (0.25 mg, 1.0 mg, or 4.0 mg twice daily) or placebo. Up to three times per week, participants were assessed on several measures of cocaine use, including urine benzoylecgonine. Cognitive behavioral therapy was administered weekly. Ondansetron was well tolerated, causing no serious adverse events. The ondansetron 4.0 mg group had the lowest dropout rate among all treatment groups and a greater rate of improvement in percentage of participants with a cocaine-free week compared with the placebo group (p = 0.02), whereas the ondansetron 1.0 mg group had a lower rate of improvement in percentage of weekly mean non-use days than did placebo recipients (p = 0.04). These results suggest the possibility of a non-linear dose-response function, with evidence supporting efficacy for the 4.0 mg group.

    A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence. Publishing Authors By Initials

    ba johnsonBA Johnson,jd roacheJD Roache,n ait-daoudN Ait-Daoud,ma javorsMA Javors,jm harrisonJM Harrison,a elkashefA Elkashef,j mojsiakJ Mojsiak,sh liSH Li,da blochDA Bloch,

    For similar abstracts research abstracts see: abstracts research

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    A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: Drug and alcohol dependence

    VOLUME: 84

    Page Numbers: 256-63

    Journal Abbreviation:

    ISSN: 0376-8716

    DAY: 2

    MONTH: 05

    YEAR: 2006

    A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence. Information

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    LANGUAGE: eng

    NlmUniqueID: 7513587

    A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence. Keywords Mesh Terms:

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    Grant and Affiliation Information for A preliminary randomized, double-blind, placebo-controlled study of the safety and efficacy of ondansetron in the treatment of cocaine dependence.

    AFFILIATION: Department of Psychiatric Medicine, University of Virginia, P.O. Box 800623, Charlottesville, VA 22908-0623, USA. bankolejohnson@virginia.edu

    Country: Ireland

    Ireland Research PublicationIreland Research Publication

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    MEDLINETA: Drug Alcohol Depend

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