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Open Pilot Trial With Desipramine and Lithium Carbonate

Frank H. Gawin, MD; Herbert D. Kleber, MD

Arch Gen Psychiatry. 1984;41(9):903-909.

Abstract
• We conducted an open clinical trial of desipramine hydrochloride or lithium carbonate as adjuncts to psychotherapy in cocaine abusers. Subjects who were treated with desipramine hydrochloride showed marked decreases in a measure of cocaine craving after two to three weeks of treatment and became abstinent regardless of whether an affective disorder was also present. Lithium carbonate was effective only in cyclothymic subjects. Other subjects treated with lithium carbonate, as well as nonpharmacologically treated subjects, continued their cocaine use.

Author Affiliations
From the Departments of Pharmacology (Dr Gawin) and Psychiatry (Drs Gawin and Kleber), Yale University School of Medicine, New Haven, Conn; and the Drug Dependence Unit, Connecticut Mental Health Center, New Haven, Conn (Drs Gawin and Kleber).

Footnotes
Accepted for publication Feb 24, 1984.

Reprint requests to Department of Psychiatry, Yale University School of Medicine, 34 Park St, New Haven, CT 06519 (Dr Gawin).

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