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Study breakdown

Stress increases cocaine use in both sexes, but the cannabinoid system plays different roles in males versus females

Animal StudyModerate evidence
The takeaway

Repeated stress enhanced cocaine self-administration equally in male and female rats, but blocking CB1 receptors reduced cocaine intake through different mechanisms in each sex.

Addiction researchers, neuroscientists studying sex differences, and clinicians interested in cannabinoid system involvement in substance use disorders.

What the researchers found

Footshock stress increased cocaine self-administration in both sexes. In males, CB1 antagonism only reduced cocaine intake in rats with combined stress-and-cocaine history. In females, rimonabant reduced cocaine intake even without stress history, with stressed females sensitive to both doses tested.

Why it matters

Stress is a major driver of drug relapse, and sex differences in addiction mechanisms are increasingly recognized. The cannabinoid system mediates stress-cocaine interactions differently in males and females.

The numbers in context

Cocaine dose: 0.5 mg/kg/infusion. Rimonabant doses: 1 and 3 mg/kg. Females showed stress-specific front-loading behavior. Both rimonabant doses effective in stressed females.

How the study worked

Male and female Sprague-Dawley rats self-administered cocaine during sessions with or without footshock stress. CB1 receptor antagonist rimonabant administered systemically at two doses (1 and 3 mg/kg).

What this study cannot tell us

Rat models may not fully translate to human cocaine use disorder. Only one stress paradigm tested. Systemic rimonabant affects the whole body.

How to read the evidence

Well-designed animal study with appropriate controls and both sexes, but limited to one stress paradigm.

When this study was published

2025 publication.

The bigger picture

This adds to growing evidence that addiction biology differs meaningfully between sexes. The endocannabinoid system appears more broadly involved in cocaine-taking in females, regardless of stress.

Questions still open

  • Would CB1 receptor modulators be more effective for treating cocaine addiction in women than men?
  • What brain circuits mediate the sex-specific CB1R effects?

Common questions

Why does the cannabinoid system matter for cocaine addiction?
The endocannabinoid system modulates stress responses and reward circuits. When stress enhances drug-seeking, cannabinoid signaling appears to be recruited as a mediator.
What does this mean for treating cocaine addiction differently in men and women?
Targeting the cannabinoid system might be effective for cocaine addiction in women more broadly, while in men it might be most useful when stress is driving drug use. These are animal findings needing human validation.

Read the original research

Repeated footshock stress enhances cocaine self-administration in male and female rats: Role of the cannabinoid receptor 1.

Physiology & behavior, 293, 114840

Citation

Gaulden, Andrew D; Tepe, Erin A; Sia, Eleni; Rollins, Sierra S; McReynolds, Jayme R. (2025). Repeated footshock stress enhances cocaine self-administration in male and female rats: Role of the cannabinoid receptor 1.. Physiology & behavior, 293, 114840. https://doi.org/10.1016/j.physbeh.2025.114840

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