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Published in: Current Addiction Reports 4/2022

01-12-2022 | Ketamine | Illicit Drugs in Therapy (A Ross and J Hawthorn, Section Editors)

Helpful or Harmful? The Therapeutic Potential of Medications with Varying Degrees of Abuse Liability in the Treatment of Substance Use Disorders

Authors: Bradford Martins, Will Rutland, Joao P. De Aquino, Benjamin L. Kazer, Melissa Funaro, Marc N. Potenza, Gustavo A. Angarita

Published in: Current Addiction Reports | Issue 4/2022

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Abstract

Purpose of Review

This review summarizes recent clinical trial research on pharmacological treatments for substance use disorders, with a specific focus on agents with potential abuse liability.

Recent Findings

Pharmacological treatments for substance use disorders may include gabapentinoids, baclofen, modafinil, ketamine, cannabinoids, gamma-hydroxybutyrate, and psychedelics. Gabapentinoids may decrease negative subjective effects of withdrawal in alcohol and cannabis use disorders. Cannabinoids similarly appear to decrease use and withdrawal symptoms in cannabis use disorder, while research shows stimulant medications may reduce cravings and increase abstinence in cocaine use disorder. Ketamine and psychedelics may help treat multiple substance use disorders. Ketamine may reduce withdrawal symptoms, promote abstinence, and diminish cravings in alcohol and cocaine use disorders and psychedelics may promote remission, decrease use, and reduce cravings in alcohol and opioid use disorders.

Summary

Regardless of current regulatory approval statuses and potentials for abuse, multiple agents should not be dismissed prematurely as possible treatments for substance use disorders. However, further clinical research is needed before effective implementation can begin in practice.
Appendix
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Metadata
Title
Helpful or Harmful? The Therapeutic Potential of Medications with Varying Degrees of Abuse Liability in the Treatment of Substance Use Disorders
Authors
Bradford Martins
Will Rutland
Joao P. De Aquino
Benjamin L. Kazer
Melissa Funaro
Marc N. Potenza
Gustavo A. Angarita
Publication date
01-12-2022
Publisher
Springer International Publishing
Published in
Current Addiction Reports / Issue 4/2022
Electronic ISSN: 2196-2952
DOI
https://doi.org/10.1007/s40429-022-00432-9

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