Decrease in tobacco consumption after treatment with topiramate and aripiprazole: a case report.
BACKGROUND
A large part of research into drug addiction focuses on mesolimbic dopamine circuitry; however, both alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and/or kainate and dopamine D2 receptors can play a role in maintaining the established addiction.


METHODS
We report the case of a 34-year-old man who compulsively smoked 80 to 100 cigarettes each day. After receiving treatment with topiramate and aripiprazole, his tobacco consumption was dramatically reduced.


CONCLUSIONS
Alpha-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid and/or kainate blocking agents and a dopamine D2 receptor partial agonist may be novel instruments for nicotine abuse disorders.
Unit of Mental Health, Hospital de Laredo, Laredo, Spain. barbaizar@hlrd.scsalud.es
Beatriz
B
Arbaizar
Inés
I
Gómez-Acebo
Javier
J
Llorca