title: Neuroleptic reduction of cocaine-induced paranoia but not euphoria?
abstract: Central dopaminergic activation is hypothesized to underly schizophrenia and, paradoxically, stimulant euphoria. Four cocaine abusers with histories of stimulant-induced paranoid psychoses reported selective reduction in psychotic symptoms but not euphoria when treated with dopamine blockers. This provides preliminary evidence against efficacy of neuroleptics in cocaine abuse prevention, and suggests euphoria and paranoia may have discriminable neurophysiological substrates.
mesh_terms: D014150:Antipsychotic Agents / Q000494:pharmacology* / Q000627:therapeutic use; D003042:Cocaine / Q000009:adverse effects*; D005059:Euphoria / Q000187:drug effects*; D006801:Humans; D010259:Paranoid Disorders / Q000139:chemically induced / Q000188:drug therapy*; D019966:Substance-Related Disorders / Q000523:psychology
chemical_list: D014150:Antipsychotic Agents; D003042:Cocaine