Evidence map›Paper›PMID 31362784›Full record

Trial reportTrials2019

A randomized clinical trial on the effects of bupropion and buprenorphine on the reduction of methamphetamine craving.

Jamshid Ahmadi, Ali Sahraian, Mehdi Biuseh

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 17% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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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

3 authors at 1 institution in 1 country.

Jamshid AhmadiSubstance Abuse Research Center, Shiraz University of Medical Sciences, Chamran BLVD, Hafez Hospital, Shiraz, Iran. jamshid_Ahmadi@yahoo.com.ORCID http://orcid.org/0000-0002-7060-469X
Ali SahraianSubstance Abuse Research Center, Shiraz University of Medical Sciences, Chamran BLVD, Hafez Hospital, Shiraz, Iran.
Mehdi BiusehSubstance Abuse Research Center, Shiraz University of Medical Sciences, Chamran BLVD, Hafez Hospital, Shiraz, Iran.
Shiraz University of Medical Sciences · IR

Funding

Shiraz University of Medical Sciences IR.SUMS.REC.92-01-01-6693)
6 · The paper itself

Abstract

backgroundThe purpose of this study was to compare the effect of 300 mg of bupropion and 8 mg of buprenorphine per day on the treatment of methamphetamine withdrawal cravings over a 2-week treatment interval.

methodSixty-five methamphetamine-dependent men who met the DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision) criteria for methamphetamine dependence and withdrawal were randomly divided into two groups. Subjects randomly received 300 mg of bupropion or 8 mg of buprenorphine per day in a psychiatric ward. Of the 65 subjects, 35 (53.8%) received buprenorphine and 30 (46.2%) received bupropion. The subjects were assessed by using methamphetamine craving score, interview, and negative urine drug test.

findingsThere were no statistically significant differences between the two groups in regard to age, education, duration of methamphetamine dependency, marital status, employment, and income. The mean ages were 32.8 years (standard deviation (SD) = 7.26, range = 22 to 59) for the buprenorphine group and 32.21 years (SD = 8.45, range = 17 to 51) for the bupropion group. All 65 patients completed the 2-week study. Both medications were effective in the reduction of methamphetamine cravings. Reduction of craving in the buprenorphine group was significantly more than the bupropion group (P = 0.011). Overall, a significant main effect of day (P <0.001) and group (P = 0.011) and a non-significant group-by-day interaction (P >0.05) were detected.

conclusionsThe results support the safety and effectiveness of buprenorphine and bupropion in the treatment of methamphetamine withdrawal craving. Administration of 8 mg of buprenorphine per day can be recommended for the treatment of methamphetamine withdrawal cravings. We should note that it is to be expected that craving decreases over time without any medication. So the conclusion may not be that bupropion and buprenorphine both lower the craving. As the buprenorphine is superior to bupropion, only buprenorphine does so for sure.

trial registrationIranian Registry of Clinical Trials (IRCT) registration number: IRCT2015010320540N1 . Date registered: April 10, 2015.

Indexed as

AdolescentAdultAmphetamine-Related DisordersAnalgesics, OpioidBehavior, AddictiveBuprenorphineBupropionCentral Nervous System StimulantsCravingDopamine Uptake InhibitorsDouble-Blind MethodHumansIranMaleMethamphetamineMiddle AgedAnalgesics, OpioidBuprenorphineBupropionCentral Nervous System StimulantsDopamine Uptake InhibitorsMethamphetamineBuprenorphineBupropionMethamphetamine withdrawal craving

Identifiers

PMID31362784
PMCPMC6668115
OpenAlexW2964682719

What OpenQuestion holds

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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.