Chemical Dependency (Narcotic)
• Acupuncture, Bacopa monniera (Brahmi), Ginkgo, Lobelia, N-acetylcysteine, Passionflower, Rosemary, Velvet Antler, Yoga
The family of drugs loosely known as “narcotics” includes chemicals in the opiate family, such as heroin, along with cocaine and variations of methamphetamine (“speed”). All of these drugs produce intense psychological symptoms during withdrawal, and most cause physical symptoms as well, making them some of the most addictive substances known.
The process of overcoming narcotic addiction involves short-term assistance to ease the immediate withdrawal period, long-term psychological work to induce behavior change, and, in some cases, maintenance treatment with long-acting narcotics such as methadone. New classes of medications are under investigation for aiding withdrawal as well.
Proposed Natural Treatments
There are no well established natural treatments to aid the treatment of drug addiction, but some have shown a bit of promise.
The herb passionflower is thought to have mild sedative properties and has been suggested as an aid to drug withdrawal. A 14-day, double-blind trial enrolled 65 men addicted to opiate drugs and compared the effectiveness of passionflower combined with the drug clonidine to clonidine alone. 1 Clonidine is used widely to assist in narcotic withdrawal. It effectively reduces physical symptoms, such as increased blood pressure. However, it does not help emotional symptoms, such as drug-craving, anxiety, irritability, agitation, and depression. These symptoms can be quite severe, and they often cause enrollees in drug treatment programs to end participation.
In this 14-day study, the use of passionflower along with clonidine significantly eased the emotional aspects of withdrawal compared to use of clonidine alone. However, more research will be necessary to prove this treatment effective.
Although some animal studies suggest that various forms of acupuncture may have some benefits for chemical dependency, 2,3 study results in humans have been mixed at best, with the largest studies reporting no benefits.
For example, a single-blind, placebo-controlled trial that evaluated 620 cocaine-dependent adults found acupuncture no more effective than sham acupuncture or relaxation training. 4 Similarly, a single-blind, placebo-controlled study enrolling 236 residential clients found no benefit from ear acupuncture for cocaine addiction. 5 However, benefits were seen in a much smaller single-blind trial. 6
Finally, a single-blind, controlled trial of 100 participants with heroin addiction evaluated the potential benefits of ear acupuncture. 7 However, a high dropout rate makes the results difficult to interpret.
Other Natural Approaches
One study provides weak evidence that the substance N-acetylcysteine might be helpful for treating cocaine dependence. 17 Similarly weak evidence hints at potential benefits for opiate addiction with the herbs brahmi ( Bacopa monniera ), 13rosemary , 14 and velvet antler . 15-16
In a review of 21 studies involving almost 3,000 subjects, researchers concluded that Chinese herbal medicine was as effective as commonly prescribed medications for drug withdrawal symptoms in heroin addicts. They could not draw any conclusions, however, regarding which specific herbs were most beneficial.18
3. Ng LK, Douthitt TC, Thoa NB, et al. Modification of morphine-withdrawal syndrome in rats following transauricular electrostimulation: an experimental paradigm for auricular electroacupuncture. Biol Psychiatry. 1975;10:575-580.
9. Shaffer HJ, LaSalvia TA, Stein JP. Comparing Hatha yoga with dynamic group psychotherapy for enhancing methadone maintenance treatment: a randomized clinical trial. Altern Ther Health Med . 1997;3:57-66.
10. Miller DK, Crooks PA, Teng L, Witkin JM, Munzar P, Goldberg SR, Acri JB, Dwoskin LP. Lobeline inhibits the neurochemical and behavioral effects of amphetamine. J Pharmacol Exp Ther . 2001;296:1023-34.
13. Sumathi T, Nayeem M, Balakrishna K, Veluchamy G, Devaraj SN. Alcoholic extract of 'Bacopa monniera' reduces the in vitro effects of morphine withdrawal in guinea-pig ileum. J Ethnopharmacol. 2002;82:75-81
Last reviewed July 2008 by EBSCO CAM Medical Review Board
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