Page last updated: 2024-10-29

ketamine and Cocaine Abuse

ketamine has been researched along with Cocaine Abuse in 15 studies

Ketamine: A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
ketamine : A member of the class of cyclohexanones in which one of the hydrogens at position 2 is substituted by a 2-chlorophenyl group, while the other is substituted by a methylamino group.

Research Excerpts

ExcerptRelevanceReference
"The aim of this study was to assess schizophrenia proneness and neurocognitive function in individuals dependent upon ketamine, cannabis and cocaine."7.78Neurocognitive function and schizophrenia-proneness in individuals dependent on ketamine, on high potency cannabis ('skunk') or on cocaine. ( Curran, HV; Duffin, S; Hunt, S; Mason, O; Monaghan, L; Morgan, CJ, 2012)
" We found that ketamine leads to significantly greater acute mystical-type effects (by Hood Mysticism Scale: HMS), dissociation (by Clinician Administered Dissociative States Scale: CADSS), and near-death experience phenomena (by the Near-Death Experience Scale: NDES), relative to the active control midazolam."5.27A sub-set of psychoactive effects may be critical to the behavioral impact of ketamine on cocaine use disorder: Results from a randomized, controlled laboratory study. ( Dakwar, E; Foltin, RW; Hart, CL; Hu, MC; Levin, FR; Nunes, EV, 2018)
" The mechanism of action analysis revealed that ketamine directly targets multiple CUD-associated genes (BDNF, CNR1, DRD2, GABRA2, GABRB3, GAD1, OPRK1, OPRM1, SLC6A3, SLC6A4) and pathways implicated in neuroactive ligand-receptor interaction, cAMP signaling and cocaine abuse/dependence."4.31Repurposing ketamine to treat cocaine use disorder: integration of artificial intelligence-based prediction, expert evaluation, clinical corroboration and mechanism of action analyses. ( Davis, PB; Gao, Z; Ghitza, UE; Gorenflo, M; Kaelber, DC; Winhusen, TJ; Xu, R, 2023)
"The aim of this study was to assess schizophrenia proneness and neurocognitive function in individuals dependent upon ketamine, cannabis and cocaine."3.78Neurocognitive function and schizophrenia-proneness in individuals dependent on ketamine, on high potency cannabis ('skunk') or on cocaine. ( Curran, HV; Duffin, S; Hunt, S; Mason, O; Monaghan, L; Morgan, CJ, 2012)
"The ketamine group was 53% less likely (hazard ratio=0."2.90A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial. ( Basaraba, CN; Carpenter, KM; Choi, CJJ; Dakwar, E; Foltin, RW; Hart, CL; Levin, FR; Mathew, SJ; Nunes, EV; Pavlicova, M, 2019)
"Problematic compounds may cause seizures either acutely or on withdrawal: Their use may reduce effectiveness of antiepileptic drugs, or may simply promote and enhance chaotic lifestyles."2.48Alcohol and drugs in epilepsy: pathophysiology, presentation, possibilities, and prevention. ( Borland, W; Leach, JP; Mohanraj, R, 2012)
"Ketamine treatment attenuated the effects of cocaine on both global and fronto-striatal FC in drug-naïve/abstinent subjects."1.51Effects of ketamine treatment on cocaine-induced reinstatement and disruption of functional connectivity in unanesthetized rhesus monkeys. ( Gopinath, KS; Howell, LL; Maltbie, EA, 2019)
"The growing social problem of drug abuse has increased the likelihood that anesthesiologists will find acute or chronic drug users among patients requiring anesthesia for elective or emergency surgery."1.37[Anesthesia in drug addiction]. ( Uña Orejón, R; Vázquez Moyano, M, 2011)

Research

Studies (15)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (6.67)29.6817
2010's13 (86.67)24.3611
2020's1 (6.67)2.80

Authors

AuthorsStudies
Gao, Z1
Winhusen, TJ1
Gorenflo, M1
Ghitza, UE1
Davis, PB1
Kaelber, DC1
Xu, R1
Brady, KT1
Zanettini, C1
Wilkinson, DS1
Katz, JL1
Dakwar, E5
Nunes, EV5
Hart, CL5
Hu, MC1
Foltin, RW4
Levin, FR4
Maltbie, EA1
Gopinath, KS1
Howell, LL1
Mathew, SJ2
Carpenter, KM1
Choi, CJJ1
Basaraba, CN1
Pavlicova, M1
Levin, F1
Anerella, C1
Uosukainen, H1
Tacke, U1
Winstock, AR1
Vázquez Moyano, M1
Uña Orejón, R1
Morgan, CJ1
Duffin, S1
Hunt, S1
Monaghan, L1
Mason, O1
Curran, HV1
Wood, DM1
Greene, SL1
Dargan, PI1
Leach, JP1
Mohanraj, R1
Borland, W1
Parsons, JT1
Kelly, BC1
Wells, BE1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
[NCT01535937]Phase 1/Phase 255 participants (Actual)Interventional2012-02-29Terminated (stopped due to An analysis demonstrated that running the final participants was unnecessary.)
Using the Behaviour Change Technique Taxonomy v1 to Conceptualize the Clinical Content of a Preliminary Randomised Controlled Study of an Online Mindfulness-based Cognitive Intervention for Chemsex[NCT05929040]29 participants (Actual)Interventional2022-03-05Completed
Conscious Dying/Conscious Living: Ketamine-Assisted Psychotherapy (KAP) for Patients at End of Life-A Pilot Study for Palliative and Hospice Care[NCT05214417]Phase 2120 participants (Anticipated)Interventional2022-05-01Not yet recruiting
The Effect of Ketamine on Reducing Cue Reactivity in Cocaine Users[NCT01790490]Phase 28 participants (Actual)Interventional2011-02-28Completed
Music as a Potential Intervention to Improve Hemodynamic Tolerability of Repetitive Sub-Anesthetic IV Ketamine Infusions in Bipolar and Unipolar Depression: A Pilot Study[NCT04701866]32 participants (Actual)Interventional2021-01-11Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Abstinence

Abstinence is defined as 2 or greater weeks of no cocaine use, as ascertained by the TLFB and urine toxicology. (NCT01535937)
Timeframe: Abstinence will be assessed over 4 weeks starting at the last day of week 1 and continuing through the end of study at the last day of week 5

InterventionParticipants (Count of Participants)
Ketamine13
Midazolam3

Number of Participants With Cocaine Use/Drop Out

Number of participants who use cocaine and drop from study. During phase 2, patients will be assessed twice weekly by TLFB and urine toxicology for cocaine use. The day of first use will determine the length of time that transpired from discharge to the first lapse onto cocaine. (NCT01535937)
Timeframe: Over the four week period following discharge from the inpatient unit at Day 5

InterventionParticipants (Count of Participants)
Ketamine16
Midazolam26

Change in Cue Reactivity

Serial visual analogue scale (VAS) scores for craving elicited by cocaine cue: units on a scale (0-200), high is worse. Scores are obtained at baseline and at 24 hours after the infusion. (NCT01790490)
Timeframe: Baseline and 24 hours after infusion

Interventionunits on a scale (0-200), high is worse (Median)
Ketamine Infusion 0.41 mg/kg Over 52 Minutes (K1)126
Ketamine Infusion 0.71 mg/kg Over 52 Minutes (K2)18
Lorazepam Infusion 2 mg/kg Over 52 Minutes (LZP)16

Change in Motivation to Quit

Motivation score obtained from the University of Rhode Island Change Assessment (URICA). Scores are obtained at baseline and at 24 hours after each infusion. The scores are 0-13, with higher scores indicating greater motivation. The analysis is within-subject. Scores included below are means; higher scores represent higher motivation to quit than do lower scores. (NCT01790490)
Timeframe: Baseline and 24 hours post-infusion

Interventionunits on a scale (Mean)
Ketamine Infusion 0.41 mg/kg Over 52 Minutes (K1)4.35
Lorazepam Infusion 2 mg/kg Over 52 Minutes (LZP)3.2
Lorazepam Infusion 2 mg/kg Over 52 Minutes (LZP) Following K14.2

Reviews

1 review available for ketamine and Cocaine Abuse

ArticleYear
Alcohol and drugs in epilepsy: pathophysiology, presentation, possibilities, and prevention.
    Epilepsia, 2012, Volume: 53 Suppl 4

    Topics: Alcohol Drinking; Alcohol Withdrawal Seizures; Alcoholism; Amphetamine-Related Disorders; Benzodiaze

2012

Trials

5 trials available for ketamine and Cocaine Abuse

ArticleYear
A sub-set of psychoactive effects may be critical to the behavioral impact of ketamine on cocaine use disorder: Results from a randomized, controlled laboratory study.
    Neuropharmacology, 2018, Volume: 142

    Topics: Cocaine-Related Disorders; Dissociative Disorders; Female; Hallucinogens; Hospitalization; Humans; K

2018
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
A Single Ketamine Infusion Combined With Mindfulness-Based Behavioral Modification to Treat Cocaine Dependence: A Randomized Clinical Trial.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine-Related Disorders; Combined Modality Therapy; Excitatory Amino Acid Antagonists; Female; Hum

2019
The effects of subanesthetic ketamine infusions on motivation to quit and cue-induced craving in cocaine-dependent research volunteers.
    Biological psychiatry, 2014, Jul-01, Volume: 76, Issue:1

    Topics: Adult; Behavior, Addictive; Cocaine-Related Disorders; Craving; Cross-Over Studies; Cues; Dose-Respo

2014
The effects of subanesthetic ketamine infusions on motivation to quit and cue-induced craving in cocaine-dependent research volunteers.
    Biological psychiatry, 2014, Jul-01, Volume: 76, Issue:1

    Topics: Adult; Behavior, Addictive; Cocaine-Related Disorders; Craving; Cross-Over Studies; Cues; Dose-Respo

2014
The effects of subanesthetic ketamine infusions on motivation to quit and cue-induced craving in cocaine-dependent research volunteers.
    Biological psychiatry, 2014, Jul-01, Volume: 76, Issue:1

    Topics: Adult; Behavior, Addictive; Cocaine-Related Disorders; Craving; Cross-Over Studies; Cues; Dose-Respo

2014
The effects of subanesthetic ketamine infusions on motivation to quit and cue-induced craving in cocaine-dependent research volunteers.
    Biological psychiatry, 2014, Jul-01, Volume: 76, Issue:1

    Topics: Adult; Behavior, Addictive; Cocaine-Related Disorders; Craving; Cross-Over Studies; Cues; Dose-Respo

2014
Therapeutic infusions of ketamine: do the psychoactive effects matter?
    Drug and alcohol dependence, 2014, Mar-01, Volume: 136

    Topics: Adult; Anesthetics, Dissociative; Cocaine-Related Disorders; Crack Cocaine; Cues; Data Interpretatio

2014
Cocaine self-administration disrupted by the N-methyl-D-aspartate receptor antagonist ketamine: a randomized, crossover trial.
    Molecular psychiatry, 2017, Volume: 22, Issue:1

    Topics: Adult; Central Nervous System Stimulants; Cocaine; Cocaine-Related Disorders; Craving; Cross-Over St

2017

Other Studies

9 other studies available for ketamine and Cocaine Abuse

ArticleYear
Repurposing ketamine to treat cocaine use disorder: integration of artificial intelligence-based prediction, expert evaluation, clinical corroboration and mechanism of action analyses.
    Addiction (Abingdon, England), 2023, Volume: 118, Issue:7

    Topics: Antidepressive Agents; Artificial Intelligence; Cocaine; Cocaine-Related Disorders; Drug Repositioni

2023
Searching for Treatments for Cocaine Use Disorder: The Quest Continues.
    The American journal of psychiatry, 2019, 11-01, Volume: 176, Issue:11

    Topics: Cocaine; Cocaine-Related Disorders; Humans; Ketamine; Mindfulness; Substance-Related Disorders

2019
Behavioral economic analysis of the effects of N-substituted benztropine analogs on cocaine self-administration in rats.
    Psychopharmacology, 2018, Volume: 235, Issue:1

    Topics: Animals; Behavior, Animal; Benztropine; Cocaine-Related Disorders; Dopamine Uptake Inhibitors; Econo

2018
Effects of ketamine treatment on cocaine-induced reinstatement and disruption of functional connectivity in unanesthetized rhesus monkeys.
    Psychopharmacology, 2019, Volume: 236, Issue:7

    Topics: Anesthetics, Dissociative; Animals; Cocaine; Cocaine-Related Disorders; Corpus Striatum; Extinction,

2019
Self-reported prevalence of dependence of MDMA compared to cocaine, mephedrone and ketamine among a sample of recreational poly-drug users.
    The International journal on drug policy, 2015, Volume: 26, Issue:1

    Topics: Adolescent; Adult; Amphetamine-Related Disorders; Cocaine-Related Disorders; Cross-Sectional Studies

2015
[Anesthesia in drug addiction].
    Revista espanola de anestesiologia y reanimacion, 2011, Volume: 58, Issue:2

    Topics: Anesthesia; Cannabinoids; Cocaine-Related Disorders; Hallucinogens; Humans; Ketamine; Opioid-Related

2011
Neurocognitive function and schizophrenia-proneness in individuals dependent on ketamine, on high potency cannabis ('skunk') or on cocaine.
    Pharmacopsychiatry, 2012, Volume: 45, Issue:7

    Topics: Adolescent; Adult; Attention; Case-Control Studies; Cocaine-Related Disorders; Cognition Disorders;

2012
Five-year trends in self-reported recreational drugs associated with presentation to a UK emergency department with suspected drug-related toxicity.
    European journal of emergency medicine : official journal of the European Society for Emergency Medicine, 2013, Volume: 20, Issue:4

    Topics: Amphetamine-Related Disorders; Cocaine-Related Disorders; Drug-Related Side Effects and Adverse Reac

2013
Differences in club drug use between heterosexual and lesbian/bisexual females.
    Addictive behaviors, 2006, Volume: 31, Issue:12

    Topics: Adolescent; Adult; Age Factors; Amphetamine-Related Disorders; Bisexuality; Cocaine-Related Disorder

2006