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Pilot Randomized Trial of Bupropion for Adolescent Methamphetamine Abuse/Dependence

Abstract Purpose To perform a pilot clinical trial of bupropion for methamphetamine abuse/dependence among adolescents. Methods Nineteen adolescents with methamphetamine abuse (n = 2) or dependence (n = 17) were randomly assigned to bupropion SR 150 mg twice daily or placebo for 8 weeks with outpati...

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Published in:Journal of adolescent health 2013-04, Vol.52 (4), p.502-505
Main Authors: Heinzerling, Keith G., M.D, Gadzhyan, Janette, van Oudheusden, Henry, M.S.W, Rodriguez, Felipe, C.C.S, McCracken, James, M.D, Shoptaw, Steven, Ph.D
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cited_by cdi_FETCH-LOGICAL-c663t-812f029e93f9dea409300ba1587340167852b19b55b7526a45caa4b2a1846fe43
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container_issue 4
container_start_page 502
container_title Journal of adolescent health
container_volume 52
creator Heinzerling, Keith G., M.D
Gadzhyan, Janette
van Oudheusden, Henry, M.S.W
Rodriguez, Felipe, C.C.S
McCracken, James, M.D
Shoptaw, Steven, Ph.D
description Abstract Purpose To perform a pilot clinical trial of bupropion for methamphetamine abuse/dependence among adolescents. Methods Nineteen adolescents with methamphetamine abuse (n = 2) or dependence (n = 17) were randomly assigned to bupropion SR 150 mg twice daily or placebo for 8 weeks with outpatient substance abuse counseling. Results Bupropion was well-tolerated except for one female in the bupropion group who was hospitalized for suicidal ideation during a methamphetamine relapse. Adolescents receiving bupropion and females provided significantly fewer methamphetamine-free urine tests compared to participants receiving placebo ( p  = .043) and males ( p  = .005) respectively. Conclusions Results do not support the feasibility of additional trials of bupropion for adolescent methamphetamine abuse/dependence. Future studies should investigate the influence of gender on adolescent methamphetamine abuse and treatment outcomes.
doi_str_mv 10.1016/j.jadohealth.2012.10.275
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Methods Nineteen adolescents with methamphetamine abuse (n = 2) or dependence (n = 17) were randomly assigned to bupropion SR 150 mg twice daily or placebo for 8 weeks with outpatient substance abuse counseling. Results Bupropion was well-tolerated except for one female in the bupropion group who was hospitalized for suicidal ideation during a methamphetamine relapse. Adolescents receiving bupropion and females provided significantly fewer methamphetamine-free urine tests compared to participants receiving placebo ( p  = .043) and males ( p  = .005) respectively. Conclusions Results do not support the feasibility of additional trials of bupropion for adolescent methamphetamine abuse/dependence. Future studies should investigate the influence of gender on adolescent methamphetamine abuse and treatment outcomes.</description><identifier>ISSN: 1054-139X</identifier><identifier>EISSN: 1879-1972</identifier><identifier>DOI: 10.1016/j.jadohealth.2012.10.275</identifier><identifier>PMID: 23333007</identifier><identifier>CODEN: JAHCD9</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Addictive behaviors ; Adolescent ; Adolescents ; Adult and adolescent clinical studies ; Ambulatory Care ; Amphetamine-Related Disorders - rehabilitation ; Antidepressive Agents, Second-Generation - adverse effects ; Antidepressive Agents, Second-Generation - therapeutic use ; Biological and medical sciences ; Bupropion ; Bupropion - adverse effects ; Bupropion - therapeutic use ; Clinical outcomes ; Clinical trial ; Delayed-Action Preparations ; Desintoxication. Drug withdrawal ; Drug addiction ; Feasibility ; Female ; Humans ; Los Angeles ; Male ; Medical sciences ; Methamphetamine ; Pediatrics ; Pilot Projects ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Secondary Prevention ; Sex Factors ; Substance abuse ; Substance Abuse Detection - statistics &amp; numerical data ; Substance Abuse, Intravenous - rehabilitation ; Treatments ; Young Adult</subject><ispartof>Journal of adolescent health, 2013-04, Vol.52 (4), p.502-505</ispartof><rights>Society for Adolescent Health and Medicine</rights><rights>2013 Society for Adolescent Health and Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>2012 Society for Adolescent Medicine. Published by Elsevier Inc. 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Methods Nineteen adolescents with methamphetamine abuse (n = 2) or dependence (n = 17) were randomly assigned to bupropion SR 150 mg twice daily or placebo for 8 weeks with outpatient substance abuse counseling. Results Bupropion was well-tolerated except for one female in the bupropion group who was hospitalized for suicidal ideation during a methamphetamine relapse. Adolescents receiving bupropion and females provided significantly fewer methamphetamine-free urine tests compared to participants receiving placebo ( p  = .043) and males ( p  = .005) respectively. Conclusions Results do not support the feasibility of additional trials of bupropion for adolescent methamphetamine abuse/dependence. Future studies should investigate the influence of gender on adolescent methamphetamine abuse and treatment outcomes.</description><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult and adolescent clinical studies</subject><subject>Ambulatory Care</subject><subject>Amphetamine-Related Disorders - rehabilitation</subject><subject>Antidepressive Agents, Second-Generation - adverse effects</subject><subject>Antidepressive Agents, Second-Generation - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Bupropion</subject><subject>Bupropion - adverse effects</subject><subject>Bupropion - therapeutic use</subject><subject>Clinical outcomes</subject><subject>Clinical trial</subject><subject>Delayed-Action Preparations</subject><subject>Desintoxication. Drug withdrawal</subject><subject>Drug addiction</subject><subject>Feasibility</subject><subject>Female</subject><subject>Humans</subject><subject>Los Angeles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methamphetamine</subject><subject>Pediatrics</subject><subject>Pilot Projects</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Drug withdrawal</topic><topic>Drug addiction</topic><topic>Feasibility</topic><topic>Female</topic><topic>Humans</topic><topic>Los Angeles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methamphetamine</topic><topic>Pediatrics</topic><topic>Pilot Projects</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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Future studies should investigate the influence of gender on adolescent methamphetamine abuse and treatment outcomes.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23333007</pmid><doi>10.1016/j.jadohealth.2012.10.275</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Addictive behaviors
Adolescent
Adolescents
Adult and adolescent clinical studies
Ambulatory Care
Amphetamine-Related Disorders - rehabilitation
Antidepressive Agents, Second-Generation - adverse effects
Antidepressive Agents, Second-Generation - therapeutic use
Biological and medical sciences
Bupropion
Bupropion - adverse effects
Bupropion - therapeutic use
Clinical outcomes
Clinical trial
Delayed-Action Preparations
Desintoxication. Drug withdrawal
Drug addiction
Feasibility
Female
Humans
Los Angeles
Male
Medical sciences
Methamphetamine
Pediatrics
Pilot Projects
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Secondary Prevention
Sex Factors
Substance abuse
Substance Abuse Detection - statistics & numerical data
Substance Abuse, Intravenous - rehabilitation
Treatments
Young Adult
title Pilot Randomized Trial of Bupropion for Adolescent Methamphetamine Abuse/Dependence
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