Page last updated: 2024-10-30

lorazepam and Cocaine-Related Disorders

lorazepam has been researched along with Cocaine-Related Disorders in 7 studies

Lorazepam: A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

Cocaine-Related Disorders: Disorders related or resulting from use of cocaine.

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (14.29)18.2507
2000's3 (42.86)29.6817
2010's3 (42.86)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Dakwar, E2
Levin, F1
Foltin, RW1
Nunes, EV2
Hart, CL2
Anerella, C1
Levin, FR1
Mathew, SJ1
Richards, JR1
Lange, RA1
Arnold, TC1
Horowitz, BZ1
Morgan, PT1
Malison, RT1
Maccioli, GA1
Volkow, ND1
Wang, GJ1
Fowler, JS1
Hitzemann, R1
Gatley, SJ1
Dewey, SS1
Pappas, N1
Cawley, MJ1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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
A Randomized, Double-blind, Placebo-controlled, Parallel-group Study of Dexmedetomidine (Precedex®), With Lorazepam Rescue, for the Management of Severe Alcohol Withdrawal Syndrome (AWS) and Alcohol Withdrawal Delirium (AWD)[NCT01362205]Phase 449 participants (Actual)Interventional2012-03-31Terminated (stopped due to DSMB recommendation for slow enrollment)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

Average MINDS Score

Minnesota Detoxification Scale (MINDS) min score 0, max score 46. The higher the score, the worse the symptoms of AWS/AWD. (NCT01362205)
Timeframe: up to 28 days

Interventionunits on a scale (Median)
Dexmedetomidine8.2
Placebo9.4

Number of Ventilator Free Days After Randomization.

A ventilator day is counted for any use of invasive mechanical ventilation during a calendar day (NCT01362205)
Timeframe: up to 28 days

Interventiondays (Median)
Dexmedetomidine27.5
Placebo28.0

Resource Utilization Costs Associated With This Hospitalization Billed by Facility.

(NCT01362205)
Timeframe: Up to 28 days

InterventionUSD (Median)
Dexmedetomidine81234
Placebo91651

Resource Utilization Costs Associated With This Hospitalization Billed by Physicians.

(NCT01362205)
Timeframe: up to 28 Days

InterventionDollar (United States) (Median)
Dexmedetomidine3482
Placebo4461

Scores at Hospital Discharge on the Beck Anxiety Inventory

The Beck Anxiety Inventory is a validated questionnaire used to measure severity of anxiety (min score 0, max score 63). The higher the score the greater the severity of anxiety. A score of 30-63 indicates severe anxiety, 17-29 moderate anxiety, 10-16 mild anxiety and 0-9 minimal anxiety. (NCT01362205)
Timeframe: Up to 28 days.

Interventionunits on a scale (Mean)
Dexmedetomidine30.3
Placebo21.6

Scores at Hospital Discharge on the Beck Depression Inventory.

The Beck Depression Inventory is a validated questionnaire used to measure severity of depression (min score 0, max score 63). The higher the score the greater the severity of depression. A score of 30-63 indicates severe depression, 19-29 moderate depression, 10-18 mild depression and 0-9 minimal depression. (NCT01362205)
Timeframe: Up to 28 days.

Interventionunits on a scale (Mean)
Dexmedetomidine26.5
Placebo21.4

Scores at Hospital Discharge on the Mini Mental Exam.

The Mini Mental State Examination or Folstein test is a validated 30-point questionnaire used to measure cognitive impairment (min score 0, max score 30). A score of 24 points (out of a max of 30) indicates normal cognition, less than or equal to 9 points indicates severe impairment, 10-18 indicates moderate impairment and 19-23 mild impairment. (NCT01362205)
Timeframe: up to 28 days

Interventionunits on a scale (Mean)
Dexmedetomidine25.8
Placebo23.1

Scores at Hospital Discharge on the PTSD Civilian Checklist

PTSD checklist consists of 17 questions graded on a scale of 1 to 5. The PTSD score is comprised from the sum of the scores 17 questions. The PTSD score has possible values from to 17 to 85 with higher values indicating greater symptom severity. (NCT01362205)
Timeframe: Up to 28 days

Interventionunits on a scale (Median)
Dexmedetomidine45.5
Placebo32.5

The Length in Days of the Hospital Stay

A hospital day is counted for any time on a calendar day the patient is admitted to the hospital. Hospital days are inclusive of ICU days. (NCT01362205)
Timeframe: up to 28 days

Interventiondays (Median)
Dexmedetomidine8.0
Placebo12.0

The Length of ICU Stay Defined as the Time Between Randomization and ICU Transfer Orders.

(NCT01362205)
Timeframe: up to 28 days in hours

Interventionhours (Median)
Dexmedetomidine79.2
Placebo104.9

The Number of CAM-ICU Negative Days After Randomization.

The Confusion Assessment Method (CAM)-ICU is a validated instrument used to detect the presence or absence of delirium in the ICU. A delirium free day is counted for any day a patient is negative by the CAM-ICU. The higher the number of CAM-ICU negative days indicates the more days a patient was able to think clearly. (NCT01362205)
Timeframe: up to 28 days

Interventiondays (Median)
Dexmedetomidine0.3
Placebo0.3

Trials

3 trials available for lorazepam and Cocaine-Related Disorders

ArticleYear
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
Pilot study of lorazepam and tiagabine effects on sleep, motor learning, and impulsivity in cocaine abstinence.
    The American journal of drug and alcohol abuse, 2008, Volume: 34, Issue:6

    Topics: Adult; Cocaine-Related Disorders; Cognition Disorders; Disruptive, Impulse Control, and Conduct Diso

2008

Other Studies

4 other studies available for lorazepam and Cocaine-Related Disorders

ArticleYear
Dual cocaine and methamphetamine cardiovascular toxicity: rapid resolution with labetalol.
    The American journal of emergency medicine, 2017, Volume: 35, Issue:3

    Topics: Administration, Intravenous; Adrenergic beta-Antagonists; Amphetamine-Related Disorders; Anti-Anxiet

2017
Dexmedetomidine to facilitate drug withdrawal.
    Anesthesiology, 2003, Volume: 98, Issue:2

    Topics: Alcohol Drinking; Blood Pressure; Cocaine-Related Disorders; Dexmedetomidine; Female; Heart Rate; Hu

2003
Enhanced sensitivity to benzodiazepines in active cocaine-abusing subjects: a PET study.
    The American journal of psychiatry, 1998, Volume: 155, Issue:2

    Topics: Adult; Brain; Cocaine-Related Disorders; Female; Fluorodeoxyglucose F18; Glucose; Humans; Lorazepam;

1998
Short-term lorazepam infusion and concern for propylene glycol toxicity: case report and review.
    Pharmacotherapy, 2001, Volume: 21, Issue:9

    Topics: Adult; Cocaine-Related Disorders; Critical Care; Diabetic Ketoacidosis; Excipients; Female; Hemodyna

2001