The DOI matches its Crossref record; 135 of the 135 references it cites were found in a registry or an index.
Pharmacological approaches to methamphetamine dependence: a focused review
Open accessAbstract
Methamphetamine dependence is a serious worldwide public health problem with major medical, psychiatric, socioeconomic and legal consequences. Various neuronal mechanisms implicated in methamphetamine dependence have suggested several pharmacological approaches. A literature search from a range of electronic databases (PubMed, EMBASE, PsycInfo, the NIDA research monograph index and the reference list of clinicaltrials.gov) was conducted for the period from January 1985 to October 2009. There were no restrictions on the identification or inclusion of studies in terms of publication status, language and design type. A variety of medications have failed to show efficacy in clinical trials, including a dopamine partial agonist (aripiprazole), GABAergic agents (gabapentin) and serotonergic agents (SSRI, ondansetron, mirtazapine). Three double‐blind placebo‐controlled trials using modafinil, bupropion and naltrexone have shown positive results in reducing amphetamine or methamphetamine use. Two studies employing agonist replacement medications, one with d‐amphetamine and the other with methylphenidate, have also shown promise. Despite the lack of success in most studies to date, increasing efforts are being made to develop medications for the treatment of methamphetamine dependence and several promising agents are targets of further research.
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“however, research on the efficacy of pharmacotherapies to date has produced inconsistent results.22”
From Protocol for a systematic review of psychological treatment for methamphetamine use: An analysis of methamphetamine use and mental health symptom outcomes (2017) · cites this paper as [22]
In the citing paper
“A number of agents that modulate functional output of DA systems are effective first-line treatments for substance-use disorders [177].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [177]
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Comparison of some behavioral effects of d- and l-methamphetamine in adult male rats
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“Despite extensive research, there is still no specific pharmacological intervention to combat METH addiction (Karila et al. 2010; Schmitz et al. 2019).”
BackgroundPedunculopontine arousal system physiology—Effects of psychostimulant abuse
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“regulate P/Q-type calcium channels [34,35], which would med-”
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“Pharmacotherapies have been used in conjunction with the aim of improving treatment engagement and retention;(21) however, research on the efficacy of pharmacotherapies to date has produced inconsistent results.(22) There is no evidence to suggest that agonist drug treatments can reduce psychological distress associat…”
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“In addition, postacute withdrawal symptoms, such as persistent fatigue, can increase the risk of relapse, especially in those who use methamphetamine to increase or sustain work performance (Karila et al., 2010; McGregor et al., 2005).”
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“Accordingly, due to the limited evidence for psychosocial treatment of methamphetamine use, the treatment focus in recent years has shifted to pharmacotherapies and medication [49, 50].”
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“METH CPP did not differ between the housing groups (main group effect F(2,15) = 0.”
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“Alteration of 5-HT systems has been suggested to be an effective treatment option for METH addiction (Karila et al., 2010; Takamatsu et al., 2006).”
Therapeutic targeting of neuroinflammation in methamphetamine use disorder
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“The subgroups investigated here do not correspond to those already described, where consumers are classified into social users and functional users [4, 9, 27], but seem to be associated with underlying psychiatric conditions [13].”
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“Currently, there is no efficient or standard treatment for meth addiction (5).”
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“Given the devastating effects of meth use disorders [9], there is a need for innovative meth use prevention strategies targeted toward youth, particularly in rural areas, where meth use poses a significant risk for adolescents [10].”
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“Administration of Meth increases extracellular DA levels [18] in the Nacc by (1) up-regulating tyrosine hydroxylase, the rate-limiting step in DA synthesis, (2) inducing reverse transport of monoamines, (3) blocking the activity of the intracellular vesicular monoamine transporter 2, (4) decreasing the expression of t…”
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“Unfortunately, various attempts at pharmacotherapy trials have yielded unpromising and inconsistent results with medications developed to date [15-17].”
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“Current intervention strategies often focus on pharmacological approaches, yet their efficacy remains limited 15–17 .”
Suarez, M., Kuebler, I. R. K., Schneider, H. M., Vollan, J. D., Hubbard, N. A., & Wakabayashi, K. T. (2025) · Behavioural Brain Research · doi:10.1016/j.bbr.2025.116002 · Cited by 2
Chougule, A., Adarkar, S. A., Kadam, K., & Parkar, S. (2018) · Journal of Medical Society · doi:10.4103/jms.jms_65_17 · Cited by 2
Wang, M., Qian, Y.-X., Ding, Z., Yuan, C., Yang, X., Liu, Y., & Sun, Y. (2022) · IntechOpen eBooks · doi:10.5772/intechopen.105582 · Cited by 2
Mohseni, F., Rafaiee, R., Rezaeian, L., Sarvandani, M. N., & Moghaddam, H. K. (2023) · PubMed Central · doi:10.22038/ijbms.2022.65053.14326 · Cited by 3
“However, to date, there is no Food and Drug Administration (FDA)-approved product (22).”
BackgroundDisorders due to Substance Use: Stimulants
Sevarino, K. A., & Farrell, M. (2024) · Springer eBooks · doi:10.1007/978-3-030-51366-5_26 · Cited by 3
Stimulant substitution in methamphetamine dependence
Dobry, Y., & Sher, L. (2012) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867412450621 · Cited by 2
“Data on the relapse reduction potential of the medications currently employed in managing this patient population shows modest efficacy at best (Karila et al., 2010).”
BackgroundSubstance-Related and Addictive Disorders
Kosten, T. R., Newton, T. F., Garza, R. D. L., & Haile, C. N. (2014) · American Psychiatric Association Publishing eBooks · doi:10.1176/appi.books.9781585625031.rh23 · Cited by 2
Stimulant Use Disorders and Related Emergencies
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Medication for Cravings in Substance Use Disorders
Patkar, A. A., Lee, J. C., & Burgess, D. M. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-398338-1.00056-7 · Cited by 2
THE DEVELOPMENT OF THE MARKET ECONOMY IN COLONIAL MASSACHUSETTS
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“Unlike other stimulant drugs, drug-seeking behaviors for methamphetamine persist even after tolerance has been reached [6].”
BackgroundInfluentialDopamine Receptors: Neurotherapeutic Targets for Substance Use Disorders
Nilson, A. N., Felsing, D. E., & Allen, J. (2022) · Wiley eBooks · doi:10.1002/9781119564782.ch19 · Cited by 2
Modafinil for the Treatment of Methamphetamine Dependence
Lashkaripour, K., Adibi, A., Mashhadi, F. F., & Dashipour, A. (2016) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.37660 · Cited by 1
Are Histamine H3 Antagonists the Definitive Treatment for Acute Methamphetamine Intoxication?
Kitanaka, N., Kitanaka, J., Hall, F. S., Tanaka, K., Tomita, K., Igarashi, K., Nishiyama, N., Sato, T., & Uhl, G. R. (2022) · Current Drug Research Reviews · doi:10.2174/2589977514666220414122847 · Cited by 1
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“There are currently no FDA-approved pharmacothera-pies to treat (MUD; [6, 7]), though preliminary studies on some medications (i.e., mirtazapine, modafinil, bupro-pion, naltrexone, and agonist replacement medications) have demonstrated promising (but small) effects [8–11].”
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“49,50 Additionally, multidisciplinary counseling coupled with contingency management programs have demonstrated some success.”
Anhedonia in Mouse Models of Methamphetamine-Induced Drug Seeking Behavior
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“A focused review on pharmacological treatments for methamphetamine/amphetamine dependence identified only three double-blind placebo-controlled trials that have shown positive 26 results for reducing use of the substance (Karila et al., 2010).”
BackgroundVaccines for Methamphetamine Use Disorder
Kosten, T. R., & Kosten, T. A. (2015) · Springer eBooks · doi:10.1007/978-3-319-23150-1_5 · Cited by 1
Methamphetaminabhängigkeit in Deutschland
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Substance-Related and Addictive Disorders
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“This combination aims to address both psychological and physical aspects of withdrawal, enhancing overall treatment efficacy [19–21].”
Chen, Y., Hung, T., Wang, Y.-S., Bae, E., Wu, K., Wang, Y., & Yu, S. (2025) · Addiction Biology · doi:10.1111/adb.70073 · Cited by 1
Metadata
- Authors
- Karila, L., Weinstein, A., Aubin, H., Benyamina, A., Reynaud, M., & Batki, S. L.
- Affiliations
- Inserm (FR)
- Hadassah Medical Center (IL)
- San Francisco VA Medical Center (US)
- Corresponding author
- Karila, Laurent
- Venue
- British Journal of Clinical Pharmacology
- Publisher
- Wiley
- Published
- 2010-05-10
- Volume
- 69
- Issue
- 6
- Pages
- 578-592
- ISSN
- 0306-5251 (ISSN-L)
- 1365-2125
- PMC
- PMC2883750
- OpenAlex
- W1747110054
- Cited by
- 242
- References
- 135
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 9 · 2023: 12 · 2022: 16 · 2021: 15 · 2020: 8 · 2019: 13 · 2018: 20 · 2017: 15 · 2016: 18 · 2015: 12 · 2014: 16 · 2013: 18 · 2012: 29
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal of Clinical Pharmacology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (U10DA015815, R01DA016764, UG1DA015815)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- methamphetamine dependence, pharmacotherapy, partial dopamine agonist, aripiprazole, GABAergic agents, gabapentin, serotonergic agents, modafinil, bupropion, naltrexone, d-amphetamine, methylphenidate, drug addiction
- MeSH terms
- Animals, Calcium Channel Blockers, Humans, Immunotherapy, Methamphetamine, Narcotic Antagonists, Antipsychotic Agents, Neurotransmitter Agents, Amphetamine-Related Disorders, Rats
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