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Findings of study on how illegally manufactured fentanyl enters U.S. contradict common assumptions, undermining efforts to control supply

A recent study by Carnegie Mellon University found that illegally manufactured fentanyl primarily enters the US via counties along the Canadian border. The analysis revealed these counties accounted for over 40% of large fentanyl seizures in 2023-2024, despite comprising only 3.1% of the national population. This finding undermines eff...

Increasing contingency management incentives will help more patients recover from addiction

A JAMA Psychiatry study recommends increasing contingency management incentives to improve opioid addiction recovery outcomes. The research team suggests using evidence-based incentive amounts, such as $128 per week for vouchers or $55 per week for prizes over 12 weeks, to effectively reduce stimulant and/or opioid use.

SourceUniversity of Connecticut·JournalJAMA Psychiatry·TypeLiterature review·DateJul 2, 2025

We can’t distinguish wild coca plants from those grown to make cocaine

A new study reveals that coca plants grown for cocaine production are difficult to distinguish from wild-growing varieties based on leaf shape and size. The researchers used genetic analysis to estimate when different coca species and varieties originated, suggesting a longer evolutionary history than previously thought.

SourceOxford University Press USA·JournalMolecular Biology and Evolution·TypeObservational study·DateJul 10, 2024

Cocaine trafficking threatens critical bird habitats

A new study finds that two-thirds of critical bird habitats are at increased risk from cocaine trafficking activities. The study highlights the unexpected connection between drug trafficking and biodiversity, revealing that areas with growing levels of cocaine trafficking become more attractive to migratory birds.

SourceCornell University·JournalNature Sustainability·DateJun 12, 2024

Smartphone swabs provide convenient toxicology testing

A new study published in Clinical Chemistry and Laboratory Medicine reveals that smartphone swabs can successfully detect drugs on phone surfaces. The method, which uses dry swabs, identified MDMA, cocaine, and THC as the most common substances, with other drugs including ketamine, LSD, and heroin also detected.

SourceDe Gruyter·JournalClinical Chemistry and Laboratory Medicine (CCLM)·TypeExperimental study·DateApr 22, 2024

Researchers adapt health system COVID-19 collaboration to track near-real-time trends in visits for substance use

Researchers adapted a COVID-19 collaboration to monitor near-real-time trends in substance use-related hospital and emergency department visits. Detailed data shows large increases in methamphetamine- and opioid-involved hospital and ED visits among Native American, Black, and multiple-race populations.

SourceHennepin Healthcare Research Institute·JournalHealth Affairs·TypeData/statistical analysis·DateNov 10, 2023

Cocaethylene cardiotoxicity in emergency department patients with acute drug overdose

A recent study published in Academic Emergency Medicine found that combining cocaine with ethanol increases the risk of cardiac arrest, higher lactate concentrations, and lower occurrence of myocardial injury. The study suggests that cocaethylene, a metabolite of cocaine and ethanol, is more toxic than either substance alone.

SourceSociety for Academic Emergency Medicine·JournalAcademic Emergency Medicine·DateMar 1, 2023

New study reveals ketamine could be effective treatment for cocaine-use disorders

Researchers at Case Western Reserve University used AI to analyze vast amounts of biomedical knowledge and electronic health records. The study found that ketamine improved remission rates among patients with cocaine-use disorders by two to four times. While promising, additional clinical trials are needed to fully assess ketamine's po...

SourceCase Western Reserve University·JournalAddiction·TypeComputational simulation/modeling·DateFeb 20, 2023

Cocaine addiction makes the brain age faster, suggests study

Researchers have discovered that cocaine addiction is associated with faster brain aging, with changes in DNA methylation in the prefrontal cortex contributing to this effect. The study, which analyzed cryo-preserved brains of deceased male donors, found that cells in this region appeared biologically older in individuals with CUD.

SourceFrontiers·JournalFrontiers in Psychiatry·TypeExperimental study·DateFeb 14, 2023

Risk of endocarditis more than 3x higher after COVID-19 infection in patients with cocaine, opioid abuse disorders

Patients with cocaine and opioid use disorders are at higher risk of developing endocarditis after COVID-19 infection, according to new research. The study found a significant increase in endocarditis cases among these patients, highlighting the need for increased screenings.

SourceCase Western Reserve University·JournalMolecular Psychiatry·TypeData/statistical analysis·DateDec 12, 2022

IPK researchers identify last remaining steps in the biosynthesis of tropane alkaloids from Coca

Researchers elucidated the coca-derived tropane pathway, identifying a specific enzyme responsible for the carbomethoxy group, a key contributor to cocaine's euphoric properties. The study also reveals that tropane biosynthesis has independently evolved at least twice in flowering plants.

SourceLeibniz Institute of Plant Genetics and Crop Plant Research·JournalProceedings of the National Academy of Sciences·DateNov 21, 2022

How gut bacteria influence the effects of cocaine in mice

Research reveals that common gut bacteria enhance cocaine effects in mice by consuming glycine, leading to behavior abnormalities. Supplementing glycine or using a genetically modified bacteria reduces response to cocaine, demonstrating its role as an addiction mediator.

SourceCell Press·JournalCell Host & Microbe·TypeExperimental study·DateNov 1, 2022

Overdose deaths involving cocaine or meth tripled in shadow of opioid crisis

Overdose deaths involving cocaine or methamphetamine increased triply in the shadow of the opioid epidemic. Most fatal overdoses (70%) involved multiple substances, with most being opioids and stimulants. The study highlights disparities in overdose risk from stimulants among Black veterans and rural residents.

SourceMichigan Medicine - University of Michigan·JournalAddiction·TypeData/statistical analysis·DateOct 20, 2021

EMS ketamine use on agitated patients on cocaine increases intubation 5.75-fold

A new study published in Prehospital and Disaster Medicine found that prehospital ketamine administration for excited delirium with concomitant cocaine intoxication significantly increases the risk of subsequent emergency department intubation. The study's findings suggest that cocaine may deplete excitatory neurotransmitters, leading ...

SourceFlorida Atlantic University·JournalPrehospital and Disaster Medicine·TypeObservational study·DateSep 29, 2021

Cannabis use rises during Australian COVID lockdown, but less meth on the streets

A wastewater study conducted in Australia during the 2020 COVID-19 lockdown found that cannabis use surged, while methamphetamine (ice) use plummeted. The research, led by the University of South Australia, analyzed wastewater samples from 20 treatment plants across the country and showed a significant increase in cannabis use nationwide.

SourceUniversity of South Australia·JournalEnvironmental Science & Technology Letters·TypeData/statistical analysis·DateAug 17, 2021

Emotional regulation technique may be effective in disrupting compulsive cocaine addiction

A new study suggests that an emotional regulation technique called cognitive reappraisal can help disrupt compulsive cocaine addiction. The technique, which involves reinterpreting the meaning of drug-related cues, was found to reduce attention-bias in individuals with cocaine use disorder.

SourceThe Mount Sinai Hospital / Mount Sinai School of Medicine·JournalProceedings of the National Academy of Sciences·DateMay 31, 2021

Stimulant-associated deaths in US

Between 2010 and 2017, US stimulant-associated deaths rose substantially, driven primarily by cocaine use. Medical stimulants also contributed to the increase, suggesting a broader public health concern.

SourceJAMA Network·JournalJAMA Internal Medicine·DateFeb 1, 2021