Evidence map›Paper›PMID 18811678›Full record

ReviewAddiction biology2009

Norepinephrine and stimulant addiction.

Mehmet Sofuoglu, R Andrew Sewell

Open access · greenAbstract readReview
In one paragraph

Review in Addiction biology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
11.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 183 citations in OpenAlex.

  1. Systematic review of drugs that modify the circadian system's phase-shifting responses to light exposure.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Review
  12. Article
  13. Similarities and Differences in Neurobiology.Advances in experimental medicine and biology · 2025
    Review
  14. The influence of drug class on reward in substance use disorders.Pharmacology, biochemistry, and behavior · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Psychostimulants and social behaviors.Frontiers in pharmacology · 2024
    Review
  19. Article
  20. Article

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Mehmet SofuogluDepartment of Psychiatry, School of Medicine, Yale University, USA and VA Connecticut Healthcare System, USA. mehmet.sofuoglu@yale.edu
R Andrew Sewell
VA Connecticut Healthcare System · US

Funding

Tiagabine and Disulfiram for Cocaine DependenceP50DA018197 · NIDA · YALE UNIVERSITY · PI KOSTEN, THOMAS RICHARD · 2004 to 2013
$12.6M
GABAERGIC &GLUTAMATERGIC AGENTS--COCAINE USE IN METHADONE MAINTENANCEP50DA012762 · NIDA · YALE UNIVERSITY · PI KOSTEN, THOMAS RICHARD · 1999 to 2003
$3.8M
Human Laboratory Studies for Stimulant AddictionK02DA021304 · NIDA · YALE UNIVERSITY · PI SOFUOGLU, MEHMET · 2008 to 2011
$460k
NIDA NIH HHS K02 DA021304NIDA NIH HHS KO2 DA021304NIDA NIH HHS P50 DA012762NIDA NIH HHS P50 DA018197NIDA NIH HHS P50-DA12762
6 · The paper itself

Abstract

No pharmacotherapies are approved for stimulant use disorders, which are an important public health problem. Stimulants increase synaptic levels of the monoamines dopamine (DA), serotonin and norepinephrine (NE). Stimulant reward is attributable mostly to increased DA in the reward circuitry, although DA stimulation alone cannot explain the rewarding effects of stimulants. The noradrenergic system, which uses NE as the main chemical messenger, serves multiple brain functions including arousal, attention, mood, learning, memory and stress response. In pre-clinical models of addiction, NE is critically involved in mediating stimulant effects including sensitization, drug discrimination and reinstatement of drug seeking. In clinical studies, adrenergic blockers have shown promise as treatments for cocaine abuse and dependence, especially in patients experiencing severe withdrawal symptoms. Disulfiram, which blocks NE synthesis, increased the number of cocaine-negative urines in five randomized clinical trials. Lofexidine, an alpha(2)-adrenergic agonist, reduces the craving induced by stress and drug cues in drug users. In addition, the NE transporter (NET) inhibitor atomoxetine attenuates some of d-amphetamine's subjective and physiological effects in humans. These findings warrant further studies evaluating noradrenergic medications as treatments for stimulant addiction.

Indexed as

Adrenergic AgonistsAmphetamineArousalAtomoxetine HydrochlorideAttentionCentral Nervous System StimulantsCocaineDopamineHumansMethamphetamineNorepinephrinePropylaminesSubstance-Related DisordersAdrenergic AgonistsAmphetamineAtomoxetine HydrochlorideCentral Nervous System StimulantsCocaineDopamineMethamphetamineNorepinephrinePropylamines

Identifiers

PMID18811678
PMCPMC2657197
OpenAlexW2108304662

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.