A Treatment Algorithm for Attention Deficit Hyperactivity Disorder in Cocaine-Dependent Adults: A One-Year Private Practice Study with Long-Acting Stimulants, Fluoxetine, and Bupropion

Original research
by
Castaneda, Ricardo et al

Release Date

1999

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

We report evidence that study subjects probably medicated their ADHD symptoms with cocaine and describe a 1‐year treatment algorithm featuring long‐acting stimulants that was effective in the management of their ADHD and cocaine dependence.

Findings/Key points

Treatment of ADHD was successful. Several treatment regimens, especially those including long‐acting stimulants, alone or in combination with other agents, were highly effective. All but 1 of the 19 subjects had a fully effective response for at least 1 full year. Mean UTAH scale scores were 7.4 before any medications were administered and 1.6 at the end of the study. Treatment proved successful in suppressing ADHD symptoms, with minimal cocaine slips or side effects.

Design/methods

Nineteen stable patients in full remission from all substance dependence were entered into an open label, prospective, treatment trial for ADHD. 

Keywords

About prescribers
Outcomes
Illegal drugs
Stimulants