NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Atomoxetine and Cocaine: what the published research says

PubMed indexes 8 records that name Atomoxetine and Cocaine together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Atomoxetine and Cocaine. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

8 studies naming Atomoxetine and Cocaine.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Atomoxetine Reduces Decisional Impulsivity in Human Cocaine Addiction.

Biological psychiatry · 2025 · PMID 39481776

Randomized Controlled Trial

“Taken together, our findings support the hypothesis of noradrenergic dysfunction in patients with CUD and provide novel translational evidence for the efficacy of atomoxetine in remediating decisional impulsivity in CUD.”

Lim et al. · Authors' conclusion

Names both Atomoxetine and Cocaine in its title.

Prefrontal Cortex Activation and Stopping Performance Underlie the Beneficial Effects of Atomoxetine on Response Inhibition in Healthy Volunteers and Those With Cocaine Use Disorder.

Biological psychiatry. Cognitive neuroscience and neuroimaging · 2022 · PMID 34508901

Randomized Controlled Trial

“These findings demonstrate that atomoxetine improves response inhibition in a baseline-dependent manner in control participants and in those with CUD. Our results emphasize inferior frontal cortex function as a future treatment target owing to its key role in improving response inhibition in CUD.”

Zhukovsky et al. · Authors' conclusion

Names both Atomoxetine and Cocaine in its title.

Atomoxetine in abstinent cocaine users: Cognitive, subjective and cardiovascular effects.

Pharmacology, biochemistry, and behavior · 2017 · PMID 28716656

Randomized Controlled Trial

“In addition, preliminary analyses investigating the modulation of atomoxetine dose effects by sex were performed. Atomoxetine increased heart rate and blood pressure, was rated as having positive and negative subjective drug effects, and had only modest effects on mood and cognitive enhancement.”

DeVito et al. · From the abstract

Names both Atomoxetine and Cocaine in its title.

Safety of atomoxetine in combination with intravenous cocaine in cocaine-experienced participants.

Journal of addiction medicine · 2012 · PMID 22987022

Randomized Controlled TrialResearch Support, N.I.H., Extramural

“Atomoxetine was tolerated safely by all participants. Certain cognitive improvements and a dampening effect on VAS scores after cocaine were observed, but should be weighed against small but significant differences in hemodynamic responses after atomoxetine.”

Cantilena et al. · Authors' conclusion

Names both Atomoxetine and Cocaine in its title.

Atomoxetine effects on attentional bias to drug-related cues in cocaine dependent individuals.

Psychopharmacology · 2017 · PMID 28551713

Human subjects

“Our findings suggest that atomoxetine reduces attentional bias to drug-related cues in CDIs. This may result from atomoxetine's modulation of the balance between tonic/phasic activity in the locus coeruleus and the possibly parallel enhancement of noradrenergic neurotransmission within the prefrontal cortex.”

Passamonti et al. · Authors' conclusion

Names both Atomoxetine and Cocaine in its title.

Atomoxetine in abstinent cocaine users: Sex differences.

Data in brief · 2017 · PMID 28861456

“Subjective drug effects, cognitive performance and cardiovascular measures were assessed. The primary atomoxetine dose analyses (which do not consider sex as a factor) are reported in full elsewhere (DeVito et al., 2017) [1].”

DeVito et al. · From the abstract

Names both Atomoxetine and Cocaine in its title.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Atomoxetine, Cocaine, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.