Cocaine Vaccine In the Works
martyros writes "Researchers at the Baylor College of Medicine are performing clinical trials of a vaccine that teaches the immune system to attack cocaine, preventing it from giving a high. The vaccine is made by attaching inactivated cocaine molecules to the outside of inactivated cholera proteins. When the immune system attacks the cholera proteins, it also 'learns' the cocaine molecules as well. The result is that the immune system 'recognizes the potent naked drug when it's ingested. The antibodies bind to the cocaine and prevent it from reaching the brain, where it normally would generate the highs that are so addictive.'" An earlier story from The Star notes that human trials for vaccines against both cocaine and nicotine are well under way.
I'm not sure the local anesthetic effects of cocaine or procaine (which is actually more potent in that respect, but has more potential for allergic reactions in sensitive areas which is why cocaine is sometimes used) would be significantly countered by the vaccine. Local anesthetics act directly on the nerves, very quickly on application at the site. It takes significant time for an immune system response.
:-)
But IANAD
Happily (and thankfully) we don't use a lot of pharmacologically similar compounds in medicine (or dentistry) these days. Even the medical/dental use of cocaine is rather rare these days as safer medications, or combinations of medications, can be used for similar effects. Despite their similar names, most of the "local anesthetics" that one would use in the dentist's chair (lidocaine, benzocaine, etc) have quite different chemical structure than cocaine. Cocaine has effect on both sodium channels (blocking depolarization and nerve conduction thus providing local anesthesia) as well as dopamine and norepinephrine reuptake (more responsible for its CNS effects). Lidocaine and related compounds only block fast sodium channels. Thus, it's unlikely that this vaccine is going to cause serious dental pain problems.