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risperidone and Cocaine Abuse

risperidone has been researched along with Cocaine Abuse in 21 studies

Risperidone: A selective blocker of DOPAMINE D2 RECEPTORS and SEROTONIN 5-HT2 RECEPTORS that acts as an atypical antipsychotic agent. It has been shown to improve both positive and negative symptoms in the treatment of SCHIZOPHRENIA.
risperidone : A member of the class of pyridopyrimidines that is 2-methyl-6,7,8,9-tetrahydropyrido[1,2-a]pyrimidin-4-one carrying an additional 2-[4-(6-fluoro-1,2-benzoxazol-3-yl)piperidin-1-yl]ethyl group at position 2.

Research Excerpts

ExcerptRelevanceReference
"We conducted a 6-week, open-label pilot study comparing risperidone with typical neuroleptics in a sample of withdrawn cocaine-dependent schizophrenia patients."9.10Risperidone decreases craving and relapses in individuals with schizophrenia and cocaine dependence. ( Davis, CW; Kaune, M; Losonczy, MF; Smelson, DA; Williams, J; Ziedonis, D, 2002)
"A small, controlled study was conducted to assess whether pergolide mesylate has clinical promise as a treatment for cocaine abuse prior to embarking on a larger, randomized, double-blind, controlled trial."9.09Pergolide mesylate for cocaine abuse: a controlled preliminary trial. ( Brooks, D; Evans, SM; Levin, FR; McDowell, D; Nunes, EV; Spano, C, 1999)
"A patient taking oral risperidone while using cocaine and alcohol presented with priapism shortly after long-acting, injectable risperidone was prescribed."7.75Priapism and risperidone. ( Koirala, S; Lippmann, S; Penagaluri, P; Smith, C, 2009)
"We conducted a 6-week, open-label pilot study comparing risperidone with typical neuroleptics in a sample of withdrawn cocaine-dependent schizophrenia patients."5.10Risperidone decreases craving and relapses in individuals with schizophrenia and cocaine dependence. ( Davis, CW; Kaune, M; Losonczy, MF; Smelson, DA; Williams, J; Ziedonis, D, 2002)
"A small, controlled study was conducted to assess whether pergolide mesylate has clinical promise as a treatment for cocaine abuse prior to embarking on a larger, randomized, double-blind, controlled trial."5.09Pergolide mesylate for cocaine abuse: a controlled preliminary trial. ( Brooks, D; Evans, SM; Levin, FR; McDowell, D; Nunes, EV; Spano, C, 1999)
"A patient taking oral risperidone while using cocaine and alcohol presented with priapism shortly after long-acting, injectable risperidone was prescribed."3.75Priapism and risperidone. ( Koirala, S; Lippmann, S; Penagaluri, P; Smith, C, 2009)
" The patient had long-standing schizophrenia and had been taking risperidone for 2 years, without evidence of abnormal movements."3.71Hyperthermia and chronic pancerebellar syndrome after cocaine abuse. ( Dissin, J; Selcer, UM; Tanvetyanon, T, 2001)
"Risperidone is an atypical antipsychotic drug with combined dopamine-2/serotonin-2 (D(2)/5-HT(2)) antagonist activity that has been effective in reducing cocaine use in some animal studies."2.73A randomized, double-blind, placebo-controlled trial of long-acting risperidone in cocaine-dependent men. ( Angarita, GA; Culhane, MA; Evins, AE; Huang, KL; Lee, SH; Loebl, T; Logvinenko, T; Nino, J; Pachas, GN, 2008)
"Cocaine dependence is a public health problem characterised by recidivism and a host of medical and psychosocial complications."2.53Antipsychotic medications for cocaine dependence. ( Amato, L; Indave, BI; Minozzi, S; Pani, PP, 2016)
"Risperidone was found to be superior to placebo in diminishing the number of dropouts, four studies, 178 participants, Relative Risk (RR) 0."2.44Antipsychotic medications for cocaine dependence. ( Amato, L; Davoli, M; Minozzi, S; Pani, PP, 2007)
"Risperidone pre-treatment reduced the self-rated 'high' produced by cocaine."1.31Risperidone pre-treatment reduces the euphoric effects of experimentally administered cocaine. ( Kalechstein, AD; Ling, W; Newton, TF; Tervo, K; Uslaner, J, 2001)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's3 (14.29)18.2507
2000's15 (71.43)29.6817
2010's3 (14.29)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Kishi, T1
Matsuda, Y1
Iwata, N1
Correll, CU1
Indave, BI1
Minozzi, S2
Pani, PP2
Amato, L2
Nejtek, VA1
Avila, M1
Chen, LA1
Zielinski, T1
Djokovic, M1
Podawiltz, A1
Kaiser, K1
Bae, S1
Rush, AJ1
Koirala, S1
Penagaluri, P1
Smith, C1
Lippmann, S1
Alvarez, Y1
Pérez-Mañá, C1
Torrens, M1
Farré, M1
Smelson, DA4
Losonczy, MF2
Davis, CW1
Kaune, M2
Williams, J2
Ziedonis, D2
Tsuang, JW1
Eckman, T1
Marder, S1
Tucker, D1
Raja, M1
Azzoni, A1
Grabowski, J2
Rhoades, H2
Stotts, A2
Cowan, K1
Kopecky, C1
Dougherty, A1
Moeller, FG1
Hassan, S1
Schmitz, J1
Sussner, BD1
Engelhart, C1
Kaplan, GB1
McRoberts, RL1
Smokler, HJ1
De La Garza, R1
Newton, TF2
Kalechstein, AD2
Albanese, MJ1
Suh, JJ1
Davoli, M1
Loebl, T1
Angarita, GA1
Pachas, GN1
Huang, KL1
Lee, SH1
Nino, J1
Logvinenko, T1
Culhane, MA1
Evins, AE1
Roy, A2
Roy, M2
Levin, FR1
McDowell, D1
Evans, SM1
Brooks, D1
Spano, C1
Nunes, EV1
Silverman, P1
Schmitz, JM1
Creson, D1
Bailey, R1
Tanvetyanon, T1
Dissin, J1
Selcer, UM1
Ling, W1
Uslaner, J1
Tervo, K1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Control Trial Comparing Quetiapine to Risperidone in Bipolar Disorder Outpatients With Current Stimulant Dependence[NCT00227123]96 participants (Actual)Interventional2002-10-31Completed
Risperidone Long-Acting for Alcohol and Schizophrenia Treatment (R-LAST)[NCT00130923]Phase 495 participants (Actual)Interventional2005-09-30Completed
A Double-Blind, Placebo-Controlled Study of the Effects of Risperdal Consta on Brain Reward Circuitry, Craving and Cocaine Use in Active Cocaine Dependence[NCT00385801]Phase 231 participants (Actual)Interventional2005-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Average Over Time of Frequency of Drinking Days (Used to Evaluate Treatment Efficacy)

Frequency of drinking days is obtained each week retrospectively as the number of drinking days during the prior week (assessed using the Timeline Followback). Mixed models are used to obtain estimates of efficacy from the partial data provided by each subject while adherent to assigned treatment (under the 'missing at random' assumption). The 'explanatory' estimands (target of the mixed model estimation) are defined in terms of population quantities that would have occurred had all subjects remained on assigned treatment throughout the study. The point estimate for each arm is reported under Number. (NCT00130923)
Timeframe: 6 months

Interventiondrinking days per week (Number)
Risperidone Long Acting Injectable (LAI)2.84
Oral Risperidone Aka Risperdal3.46

Average Over Time of Global Functioning (Used to Evaluate Treatment Efficacy)

A rater assesses social, occupational and psychological functioning on a hypothetical continuum of mental health - illness (using Global Assessment of Functioning); scores range from 100 to 1, where higher values represent a better outcome. Mixed models are used to obtain estimates of efficacy from the partial data provided by each subject while adherent to assigned treatment (under the 'missing at random' assumption). The 'explanatory' estimands (target of the mixed model estimation) are defined in terms of population quantities that would have occurred had all subjects remained on assigned treatment throughout the study. The point estimate for each arm is reported under Number. (NCT00130923)
Timeframe: 6 months

Interventionordinal severity of impairment (Number)
Risperidone Long Acting Injectable (LAI)50.8
Oral Risperidone Aka Risperdal49.9

Average Over Time of Positive and Negative Symptoms (Used to Evaluate Treatment Efficacy)

A rater assesses positive and negative symptoms of schizophrenia using a 30-item scale (Positive and Negative Symptom Score) Scores range from 30 to 210, where higher values represent a worse outcome. Mixed models are used to obtain estimates of efficacy from the partial data provided by each subject while adherent to assigned treatment (under the 'missing at random' assumption). The 'explanatory' estimands (target of the mixed model estimation) are defined in terms of population quantities that would have occurred had all subjects remained on assigned treatment throughout the study. The point estimate for each arm is reported under Number. (NCT00130923)
Timeframe: 6 months

Interventionordinal severity of symptoms (Number)
Risperidone Long Acting Injectable (LAI)78.2
Oral Risperidone Aka Risperdal75.5

Average Over Time of Severity of Illness and Global Improvement (Used to Evaluate Treatment Efficacy)

A rater assesses the severity of illness and global impression using a scale from 1 to 7 (Clinical Global Impression), where higher values represent a worse outcome. Mixed models are used to obtain estimates of efficacy from the partial data provided by each subject while adherent to assigned treatment (under the 'missing at random' assumption). The 'explanatory' estimands (target of the mixed model estimation) are defined in terms of population quantities that would have occurred had all subjects remained on assigned treatment throughout the study. The point estimate for each arm is reported under Number. (NCT00130923)
Timeframe: 6 months

Interventionordinal unit of severity (Number)
Risperidone Long Acting Injectable (LAI)4.02
Oral Risperidone Aka Risperal3.96

Change Over Time in Frequency of Heavy Drinking Days (Used to Evaluate Treatment Efficacy)

Frequency of heavy drinking days is obtained each week retrospectively as the number of heavy drinking days during the prior week (assessed by the Timeline Followback Scale). A heavy drinking day is defined as 4 or more drinks per day for a female and 5 or more drinks per day for a male. Mixed models are used to obtain estimates of efficacy from the partial data provided by each subject while adherent to assigned treatment (under the 'missing at random' assumption). The 'explanatory' estimands (target of the mixed model estimation) are defined in terms of population quantities that would have occurred had all subjects remained on assigned treatment throughout the study. The point estimate for each arm is reported under Number. (NCT00130923)
Timeframe: 6 months

Interventionheavy drinking days per week (Number)
Risperidone Long Acting Injectable (LAI)-.11
Oral Risperidone Aka Risperal.68

Number of Participants With Medication Adherence

Number of participants with medication adherence (defined as taking medication at least 75% of the days in the treatment period). (NCT00130923)
Timeframe: 6 months

InterventionParticipants (Count of Participants)
Risperidone Long Acting Injectable (LAI)43
Oral Risperidone Aka Risperdal28

Cocaine Craving

The University of Minnesota Cocaine Craving Scale was performed to assess cocaine craving. The scale contains 1 continuous scale for intensity and 2 categorical scales for frequency and duration of craving episodes. The continuous scale for craving intensity ranges from 0 (no craving at all in the past week) to 10 (a great deal of craving in the past week) (NCT00385801)
Timeframe: 12 weeks

Interventionunits on a scale (Mean)
PlaceboNA
RisperidoneNA

Cocaine Use by Quantitative Urine Samples

After randomization, participants provided urine samples every week for the first 3 weeks and then every 2 weeks for 8 weeks, up to 7 samples per participant. The average visits with cocaine negative urine samples per participant are reported below (NCT00385801)
Timeframe: 12 weeks

Interventionvisit with negative UBE (Mean)
Placebo1.81
Risperidone Consta0.87

Reviews

4 reviews available for risperidone and Cocaine Abuse

ArticleYear
Antipsychotics for cocaine or psychostimulant dependence: systematic review and meta-analysis of randomized, placebo-controlled trials.
    The Journal of clinical psychiatry, 2013, Volume: 74, Issue:12

    Topics: Amphetamine-Related Disorders; Antipsychotic Agents; Aripiprazole; Benzodiazepines; Central Nervous

2013
Antipsychotic medications for cocaine dependence.
    The Cochrane database of systematic reviews, 2016, Mar-19, Volume: 3

    Topics: Antipsychotic Agents; Aripiprazole; Benzodiazepines; Cocaine-Related Disorders; Haloperidol; Humans;

2016
Antipsychotic drugs in cocaine dependence: a systematic review and meta-analysis.
    Journal of substance abuse treatment, 2013, Volume: 45, Issue:1

    Topics: Antipsychotic Agents; Cocaine; Cocaine-Related Disorders; Humans; Outcome Assessment, Health Care; P

2013
Antipsychotic medications for cocaine dependence.
    The Cochrane database of systematic reviews, 2007, Jul-18, Issue:3

    Topics: Antipsychotic Agents; Benzodiazepines; Cocaine-Related Disorders; Haloperidol; Humans; Olanzapine; R

2007

Trials

9 trials available for risperidone and Cocaine Abuse

ArticleYear
Do atypical antipsychotics effectively treat co-occurring bipolar disorder and stimulant dependence? A randomized, double-blind trial.
    The Journal of clinical psychiatry, 2008, Volume: 69, Issue:8

    Topics: Adult; Amphetamine-Related Disorders; Antipsychotic Agents; Bipolar Disorder; Cocaine-Related Disord

2008
Risperidone decreases craving and relapses in individuals with schizophrenia and cocaine dependence.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2002, Volume: 47, Issue:7

    Topics: Adult; Antipsychotic Agents; Cocaine-Related Disorders; Comorbidity; Female; Humans; Male; Middle Ag

2002
Agonist-like or antagonist-like treatment for cocaine dependence with methadone for heroin dependence: two double-blind randomized clinical trials.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2004, Volume: 29, Issue:5

    Topics: Adolescent; Adult; Blood Pressure; Cocaine; Cocaine-Related Disorders; Cognitive Behavioral Therapy;

2004
A double-blind placebo-controlled pilot study of risperidone for decreasing cue-elicited craving in recently withdrawn cocaine dependent patients.
    Journal of substance abuse treatment, 2004, Volume: 27, Issue:1

    Topics: Adult; Analysis of Variance; Behavior, Addictive; Cocaine-Related Disorders; Cues; Dopamine Antagoni

2004
Risperidone diminishes cocaine-induced craving.
    Psychopharmacology, 2005, Volume: 178, Issue:2-3

    Topics: Adult; Antipsychotic Agents; Cocaine-Related Disorders; Dopamine D2 Receptor Antagonists; Dose-Respo

2005
A randomized, double-blind, placebo-controlled trial of long-acting risperidone in cocaine-dependent men.
    The Journal of clinical psychiatry, 2008, Volume: 69, Issue:3

    Topics: Adult; Antipsychotic Agents; Cocaine-Related Disorders; Delayed-Action Preparations; Depressive Diso

2008
Risperidone diminishes cue-elicited craving in withdrawn cocaine-dependent patients.
    Canadian journal of psychiatry. Revue canadienne de psychiatrie, 1997, Volume: 42, Issue:9

    Topics: Antipsychotic Agents; Behavior, Addictive; Cocaine; Cocaine-Related Disorders; Cues; Drive; Humans;

1997
Pergolide mesylate for cocaine abuse: a controlled preliminary trial.
    The American journal on addictions, 1999,Spring, Volume: 8, Issue:2

    Topics: Adult; Cocaine-Related Disorders; Dopamine Agonists; Dopamine Antagonists; Double-Blind Method; Fema

1999
Risperidone for the treatment of cocaine dependence: randomized, double-blind trial.
    Journal of clinical psychopharmacology, 2000, Volume: 20, Issue:3

    Topics: Adult; Cocaine; Cocaine-Related Disorders; Dopamine Antagonists; Double-Blind Method; Female; Humans

2000

Other Studies

8 other studies available for risperidone and Cocaine Abuse

ArticleYear
Priapism and risperidone.
    Southern medical journal, 2009, Volume: 102, Issue:12

    Topics: Adolescent; Alcoholism; Anemia, Sickle Cell; Antipsychotic Agents; Cocaine-Related Disorders; Humans

2009
Can risperidone reduce cocaine use in substance abusing schizophrenic patients?
    Journal of clinical psychopharmacology, 2002, Volume: 22, Issue:6

    Topics: Adult; Antipsychotic Agents; Cocaine-Related Disorders; Humans; Male; Psychiatric Status Rating Scal

2002
Oxcarbazepine, risperidone and atenolol overdose with benign outcome.
    The international journal of neuropsychopharmacology, 2003, Volume: 6, Issue:3

    Topics: Adrenergic beta-Antagonists; Adult; Alcoholism; Anticonvulsants; Antipsychotic Agents; Atenolol; Bip

2003
Baclofen as adjunctive treatment for a patient with cocaine dependence and schizoaffective disorder.
    Journal of clinical psychopharmacology, 2004, Volume: 24, Issue:5

    Topics: Alcoholism; Antidepressive Agents, Second-Generation; Antipsychotic Agents; Baclofen; Bipolar Disord

2004
Risperidone in cocaine-dependent patients with comorbid psychiatric disorders.
    Journal of psychiatric practice, 2006, Volume: 12, Issue:5

    Topics: Adolescent; Adult; Antipsychotic Agents; Cocaine-Related Disorders; Comorbidity; Counseling; Diagnos

2006
Risperidone, ERG and cocaine craving.
    The American journal on addictions, 1998,Winter, Volume: 7, Issue:1

    Topics: Adult; Antipsychotic Agents; Cocaine-Related Disorders; Electroretinography; Humans; Male; Risperido

1998
Hyperthermia and chronic pancerebellar syndrome after cocaine abuse.
    Archives of internal medicine, 2001, Feb-26, Volume: 161, Issue:4

    Topics: Adult; Antipsychotic Agents; Cerebellar Diseases; Chronic Disease; Cocaine-Related Disorders; Diagno

2001
Risperidone pre-treatment reduces the euphoric effects of experimentally administered cocaine.
    Psychiatry research, 2001, Jul-24, Volume: 102, Issue:3

    Topics: Adult; Analysis of Variance; Central Nervous System Stimulants; Cocaine; Cocaine-Related Disorders;

2001