Published August 2023 | Version Published
Journal Article

N-acetylcysteine for smoking cessation among dual users of tobacco and cannabis: Protocol and rationale for a randomized controlled trial

Abstract

Tobacco and cannabis co-use is a growing public health problem. The synergistic effects of cannabis and nicotine on neurobiological systems that mediate reward and shared environmental cues reinforcing use may make tobacco smoking cessation more difficult. N-acetylcysteine (NAC), an FDA-approved medication and over-the-counter supplement, has shown promise in animal studies and randomized controlled trials (RCTs) in reducing tobacco and cannabis craving and use. NAC's potential efficacy in treating addiction may be attributable to its central nervous system effects in reducing excessive glutamatergic activity, oxidative stress, and inflammation. To date, no RCT has examined NAC for smoking cessation among dual users of tobacco and cannabis.

Funding

The research is supported by California Tobacco Related Diseases Research Program T31IP1349 (Herbst, Principal Investigator (PI)). Training awards that support this project include VA Clinical Science Research & Development IK2CX001510 (David Pennington, PI) and R25MH060482 (Eric Alcid, Trainee Award; Susan Voglmaier, PI).

Conflict of Interest

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. None of the authors have any conflicts of interest to disclose. No authors declared competing interests associated with this publication.

Data Availability

No data was used for the research described in the article.

Additional details

Funding

National Institutes of Health
United States Department of Veterans Affairs
University of California System

Dates

Accepted
2023-05-23
Accepted paper
Available
2023-06-02
Available online
Available
2023-07-10
Version of record

Caltech Custom Metadata

Caltech groups
Division of Biology and Biological Engineering (BBE)
Publication Status
Published