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Ensayo controlado aleatorizado2004

Transdermal nicotine maintenance attenuates the subjective and reinforcing effects of intravenous nicotine, but not cocaine or caffeine, in cigarette-smoking stimulant abusers

Sobel BF, Sigmon SC, Griffiths RR

Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 26 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institute on Drug Abuse
Gobierno
NIDA NIH HHS
Subvenciones
National Institute on Drug Abuse (DA 03890)

Según 2 financiadores declarados.

Publicación

Publicado
2004-01-19 · Neuropsychopharmacology · vol. 29 · número 5 · págs. 991–1003
Editorial
Springer Nature
Citado
33 citas · más que el 80% de estudios similares · 1.3× el promedio de su campo
Referencias
53 trabajos
Acceso
De pago
Áreas de investigación
Smoking Behavior and Cessation · Nicotinic Acetylcholine Receptors Study · Substance Abuse Treatment and Outcomes
Palabras clave
nicotine patch, cocaine, caffeine, subjective effects, drug reinforcement, tolerance (pharmacology and immunology), stimulant abuse, cigarette smokers, cardiovascular effects, nicotine dependence
MeSH
humans, substance-related disorders, cocaine-related disorders, substance withdrawal syndrome, nicotine, caffeine, nicotinic agonists, central nervous system stimulants, administration, cutaneous, injections, intravenous, double-blind method, smoking cessation, blood pressure, adult, female, male, surveys and questionnaires

3 autores

  • Bai-Fang X Sobel🇺🇸Johns Hopkins University; Johns Hopkins Medicine
  • Stacey C. Sigmon🇺🇸Johns Hopkins University; Johns Hopkins Medicine
  • Roland R. Griffiths🇺🇸 · autor de correspondenciaJohns Hopkins University; Johns Hopkins Medicine

Resumen

El texto original del estudio, en el idioma en que se publicó.

The effects of transdermal nicotine maintenance on the subjective, reinforcing, and cardiovascular effects of intravenously administered cocaine, caffeine, and nicotine were examined using double-blind procedures in nine volunteers with histories of using tobacco, caffeine, and cocaine. Each participant was exposed to two chronic drug maintenance phases (21 mg/day nicotine transdermal patch and placebo transdermal patch). Within each drug phase, the participant received intravenous injections of placebo, cocaine (15 and 30 mg/70 kg), caffeine (200 and 400 mg/70 kg), and nicotine (1.0 and 2.0 mg/70 kg) in mixed order across days. Subjective and cardiovascular data were collected before and repeatedly after drug or placebo injection. Reinforcing effects were also assessed after each injection with a Drug vs Money Multiple-Choice Form. Intravenous cocaine produced robust dose-related increases in subjective and reinforcing effects; these effects were not altered by nicotine maintenance. Intravenous caffeine produced elevations on several subjective ratings; nicotine maintenance did not affect these ratings. Under the placebo maintenance condition, intravenous nicotine produced robust dose-related subjective effects, with maximal increases similar to the high dose of cocaine; nicotine maintenance significantly decreased the subjective and reinforcing effects of intravenous nicotine. The results of the present study demonstrate that chronic nicotine maintenance produces tolerance to the effects of intravenous nicotine, but does not affect the subjective or reinforcing effects of cocaine or caffeine.

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