Systematic review of N-acetylcysteine in the treatment of addictions

Systematic review of N-acetylcysteine in the treatment of addictions

Author Asevedo, Elson de Miranda Autor UNIFESP Google Scholar
Mendes, Ana C. Google Scholar
Berk, Michael Google Scholar
Brietzke, Elisa Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Santa Marcelina Hospital
School of Medicine and Barwon Health Deakin University IMPACT Strategic Research Centre
University of Melbourne Florey Institute of Neuroscience and Mental Health and Orygen Youth Health Research Centre Department of Psychiatry
Abstract Objective: To conduct the first systematic literature review of clinical trials of N-acetylcysteine (NAC) for the treatment of substance abuse disorders and addictive behaviors. Methods: A search of the MEDLINE, Embase and PsycINFO databases was conducted. The inclusion criteria for the review were clinical trials that used NAC in the treatment of a disorder related to substance use and/or addictive behaviors, limited to texts in English, Spanish, or French. The selected studies were evaluated with respect to type of trial, sample size, diagnostic input, intervention, length of follow-up, outcome variables, and results. Results: Nine studies analyzing a total of 165 patients met the eligibility criteria and were included in qualitative analysis. These studies evaluated the role of NAC in cocaine dependence (three studies), cannabis dependence (two studies), nicotine dependence (two studies), methamphetamine addiction (one study), and pathological gambling (one study). Five of these trials were double-blind, randomized, and placebo-controlled. Conclusions: The studies analyzed suggest a potential role for NAC in the treatment of addiction, especially of cocaine and cannabis dependence. These results are concordant with the hypothesis of the involvement of glutamatergic pathways in the pathophysiology of addiction.
Keywords Drug dependence
addictive behaviors
N-acetylcysteine
glutamatergic receptors
smoking
Language English
Date 2014-05-13
Published in Revista Brasileira de Psiquiatria. Associação Brasileira de Psiquiatria - ABP, v. 36, n. 2, p. 168-175, 2014.
ISSN 1516-4446 (Sherpa/Romeo)
Publisher Associação Brasileira de Psiquiatria - ABP
Extent 168-175
Origin http://dx.doi.org/10.1590/1516-4446-2013-1244
Access rights Open access Open Access
Type Article
SciELO ID S1516-44462014000200168 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/8381

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