Possible Aid in Cocaine Addiction
Cocaine addiction is very common among heroin users in the United States. Often times the same people who sell heroin also sell powdered and crack cocaine. The euphoric low of heroin and the euphoric high of cocaine are sometimes mixed and used alternately with addicts. Both addictions are common problems that rehabilitation facilities treat, however, sometimes there is difficulty in the treatment.
Currently there are medications on the market that are designed to block heroin cravings and help the addict get through the painful withdrawal symptoms, but there isn’t anything specifically designed like that for treating cocaine addiction. Scientists in the Europe recently tested the use of another stimulant to treat people dealing with addictions to both drugs. The study, which appears in the Lancet medical journal, included trials with sustained-release dexamfetamine (dextroamphetamine).
The idea is that the drug, which is otherwise commonly used as a treatment for ADHD, works in the brain to help with cocaine cravings. A trial was recently conducted with 111 heroin and cocaine addicted patients in the Netherlands. Some patients received the dexamfetamine while undergoing talk therapy and other patients were administered a placebo while they were taking their prescribed doses of methadone. Those that received the dexamfetamine were able to abstain from cocaine for longer than those that only received the placebo. On average, addicts who received the trial drug were able to stay clean from cocaine for 60 days, while those that did not receive the medication stayed clean from cocaine for 45 days.
“We found SR dexamfetamine to be superior to placebo on all cocaine use – related outcomes, with effect sizes that were at least comparable to those found in studies on other chronic disorders, including alcohol dependence and many other psychiatric and general medical conditions,” explained Mascha Nuijten, a doctoral candidate at the Parnassia Addiction Research Center.
Understanding that addicts who are reliant on both heroin and cocaine need specialized help is vital in improving treatment. Because cocaine and heroin use often go hand in hand, these types of trials are extremely important. The major difficulty with these forms of treatment, however, is that they are still leaving the addicts dependent on drugs that are similar to the ones they were already taking, such as a stimulant for a stimulant or an opiate for an opiate. Although any form of improvement is welcomed in most treatment arenas, caution should be applied to see if there are other non-drug methods that can work first.