Dopaminergic agonists can decrease cocaine self-administration at dose
s that do not decrease food-maintained responding, a pre-clinical effe
ct indicative of a potential treatment for human cocaine abuse. To ass
ess whether similar effects could be obtained with medications current
ly used to treat substance abuse, phentermine and fenfluramine were gi
ven alone and in combination to rhesus monkeys responding under schedu
les of food and cocaine delivery. Phentermine decreased cocaine-mainta
ined responding with no effect on food-maintained responding. Fenflura
mine also selectively decreased cocaine-maintained responding, but onl
y at the highest dose. Combining a lower dose of fenfluramine with phe
ntermine selectively decreased cocaine-maintained responding, but not
more than with phentermine alone. These results suggest that phentermi
ne, as well as its combination with fenfluramine, may be useful in the
treatment of cocaine abuse.