J Addict Dis. 1994;13(4):201-16. Unique Identifier : AIDSLINE
At the Drug Detoxification, Rehabilitation, and Aftercare Program of the
Haight-Ashbury Free Clinics, we conducted a double-blind, controlled,
randomized clinical trial of imipramine in the treatment of cocaine and
methamphetamine abusers. The purpose of the trial was to test the
efficacy of imipramine as a treatment for stimulant dependence and to
establish the feasibility of conducting a controlled clinical trial at
the clinic under conditions that approximated usual clinical practice.
Subjects were randomly assigned to receive either 10 or 150 mg/day of
imipramine. Imipramine 10 mg/day was the control condition. Subjects
could receive study medication for up to 180 days. One-hundred
eighty-three subjects participated in the study: 151 were cocaine
dependent and 32 were methamphetamine dependent. In addition to
receiving study medication, all subjects were assigned to intensive drug
abuse counseling, which included an HIV education component. Using an
intention-to-treat analysis, we found that retention in treatment was
significantly longer for subjects who were treated with 150 mg of
imipramine compared to control. However, we found no consistent
differences between the two groups of subjects in Beck Depression
Inventory scores, stimulant craving, self-report of time since last use
of stimulants, or percent of urinalyses positive for stimulants. The
feasibility of conducting a controlled, randomized clinical trial of
medication for treatment of drug abuse was established for this
community clinic setting.
*Cocaine Combined Modality Therapy Comparative Study Counseling
Dose-Response Relationship, Drug Double-Blind Method Feasibility
Studies Female Follow-Up Studies Human Imipramine/*THERAPEUTIC USE
Male *Methamphetamine Patient Dropouts/PSYCHOLOGY Substance
Dependence/PSYCHOLOGY/*REHABILITATION Substance Withdrawal
Syndrome/DIAGNOSIS/PSYCHOLOGY Support, U.S. Gov't, P.H.S. Treatment
Outcome CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIAL