Literature DB >> 15236812

Sex differences in cocaine-dependent individuals' response to disulfiram treatment.

Charla Nich1, Elinore F McCance-Katz, Ismene L Petrakis, Joseph F Cubells, Bruce J Rounsaville, Kathleen M Carroll.   

Abstract

The objective of this study is to evaluate differential response to disulfiram treatment of cocaine dependence by sex. Sex by treatment interactions from two pooled randomized clinical trials involving 191 cocaine-dependent subjects (36% female) were evaluated. Primary outcomes were days of abstinence and percentage of drug-free urine specimens. Significant sex by treatment interactions were found, where men treated with disulfiram had better outcomes than those who were not. Women had an intermediate outcome regardless of whether they received disulfiram. Sex differences in response to disulfiram treatment have important clinical and theoretical implications. Reasons for this apparent sex-based response are not clear, but possible mechanisms worthy of greater study include differences in alcohol use by sex as well as differences in dopamine-mediated responses to cocaine and disulfiram.

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Year:  2004        PMID: 15236812      PMCID: PMC3680597          DOI: 10.1016/j.addbeh.2004.03.004

Source DB:  PubMed          Journal:  Addict Behav        ISSN: 0306-4603            Impact factor:   3.913


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