title: Naltrexone for the treatment of comorbid tobacco and pornography addiction.
abstract: OBJECTIVE
  Co-occurring addictive disorders are common, however treatment strategies for this population have not been extensively studied. This is especially the case for behavioral addictions.
  
  
  METHODS
  We present a patient (N = 1) with tobacco use disorder and problematic pornography use treated with naltrexone.
  
  
  RESULTS
  Naltrexone treatment resulted in a decrease in pornography viewing and cigarette smoking, however had the adverse effect of anhedonia. A lower dose modestly impacted pornography viewing but not smoking.
  
  
  CONCLUSIONS
  Relevant literature regarding co-occurring addictions as well as use of naltrexone is reviewed.
  
  
  CONCLUSIONS
  This report represents the first case of tobacco and pornography co-addiction in the literature and supports the assertion that treatment of one addictive disorder can benefit another in the dually addicted patient. The efficacy of naltrexone for smoking is notable as previous studies of naltrexone in smoking have been disappointing. This case suggests future treatment strategies for comorbid addictions. (Am J Addict 2017;26:115-117).
authors.affiliation: Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut.|United States Department of Veterans Affairs, VA Connecticut Healthcare System, West Haven, Connecticut.
authors.forename: Noah A
authors.initials: NA
authors.lastname: Capurso
mesh_terms: D000368:Aged; D016739:Behavior, Addictive / Q000175:diagnosis / Q000188:drug therapy; D004882:Erotica / Q000523:psychology*; D006801:Humans; D008297:Male; D009271:Naltrexone / Q000008:administration & dosage*; D009292:Narcotic Antagonists / Q000008:administration & dosage; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology; D014029:Tobacco Use Disorder / Q000188:drug therapy / Q000523:psychology; D016896:Treatment Outcome
chemical_list: D009292:Narcotic Antagonists; D009271:Naltrexone