Publications by authors named "Robert E Brutcher"

Importance: Policy makers have sought to discourage concurrent prescribing of opioids and benzodiazepines (coprescribing) because it is associated with overdose. Email alerts sent by pharmacists may reduce coprescribing, but this intervention lacks randomized evidence.

Objective: To investigate whether pharmacist emails to practitioners caring for patients who recently received opioids and benzodiazepines reduce coprescribing of these medications.

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Background: The use of compounded topical pain creams has increased dramatically, yet their effectiveness has not been well evaluated.

Objective: To determine the efficacy of compounded creams for chronic pain.

Design: Randomized controlled trials of 3 interventions.

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Article Synopsis
  • The study explored the potential of quetiapine abuse in monkeys by examining its reinforcing effects, individually and in combination with cocaine.
  • In Experiment 1, quetiapine alone did not encourage self-administration in female monkeys, and previous treatment with quetiapine did not change this result.
  • In Experiment 2, male monkeys showed increased preference for low doses of cocaine when quetiapine was added, suggesting quetiapine enhances the effects of cocaine rather than acting as a drug of abuse itself.
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Rationale: Clinical literature suggests a link between substance abuse and sleep disturbances. Quetiapine, an atypical antipsychotic, has shown efficacy in treating sleep disturbances, with clinical studies showing promise for quetiapine as a treatment for cocaine abuse.

Objective: The goal of this study was to examine the effects of quetiapine on cocaine self-administration and behavioral indices of sleep in monkeys.

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Rationale: Clinical trials show that chronic cocaine users suffer from sleep disturbances and preclinical research has shown that acute sleep deprivation increases the rate of cocaine self-administration in rats.

Objective: This study examined the effect of cocaine self-administration on behavioral indices of sleep and alternatively the effect of sleep disruption on cocaine-maintained responding by rhesus monkeys.

Methods: Seven adult rhesus monkeys, fitted with Actical® activity monitors, were trained to respond under a concurrent choice paradigm with food (three 1.

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1. Studies were designed to examine the effects of alpha(1) (alpha(1)AR)- plus beta(3)-adrenoreceptor (beta(3)AR) antagonists on 3,4-methylenedioxymethamphetamine (MDMA, Ecstasy)-induced hyperthermia and measures of rhabdomyolysis (creatine kinase (CK)) and renal function (blood urea nitrogen (BUN) and serum creatinine (sCr)) in male Sprague-Dawley rats. 2.

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