Opioid Dependence Clinical Trial
Official title:
Evaluation of NMDA Antagonist for Opiate Dependence
The goal of this study is to test the efficacy of memantine (a noncompetitive NMDA receptor antagonist) as an adjunct to the maintenance treatment with naltrexone in detoxified heroin-dependent individuals.
The primary aim of this study is to test the efficacy of memantine, a noncompetitive NMDA
receptor antagonist, in reducing early attrition and improving outcome in opioid-dependent
individuals maintained on naltrexone.
This double-blind, 12-week trial will include heroin-dependent patients who completed
detoxification. Participants will be randomly assigned to one of three conditions: naltrexone
and placebo, naltrexone and memantine (15 mg bid), or naltrexone and memantine (30 mg bid).
Naltrexone will be taken 3 times each week at the clinic, while memantine or placebo will be
taken at home. In addition, twice each week patients will receive a psychosocial intervention
that will include motivational interviewing and cognitive-behavioral relapse prevention. The
goal of the psychosocial intervention is to improve compliance with medication and maintain
abstinence. Baseline assessments will be taken and compared to those completed at study
visits, which will occur 3 times each week.
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