The dopamine transporter (DAT) is a critical recognition site for cocaine and contributes to its significant abuse liability. Accordingly, the development of compounds that target the DAT represents a logical approach in the pharmacological treatment of cocaine abuse. The present study characterized the effects of DAT inhibitors as pretreatments in rhesus monkeys trained to self-administer cocaine under a second-order schedule of i.v. drug delivery. The drugs also were substituted for cocaine to characterize their effectiveness in maintaining drug selfadministration. Positron emission tomography neuroimaging with [ All drugs produced dose-related reductions in cocaine self-administration. Doses of GBR 12909 and RTI-177 that reduced responding by 50% (ED 50 ) resulted in DAT occupancies of 67 Ϯ 5 and 73 Ϯ 5%, respectively. In contrast, DAT occupancy was below the limit of detection for the ED 50 dose of RTI-112. Both GBR 12909 and RTI-177 reliably maintained drug selfadministration, and DAT occupancies at doses that maintained peak rates of responding were 57 Ϯ 1 and 92 Ϯ 7%, respectively. In contrast, RTI-112 failed to maintain robust drug selfadministration in any subject. The results indicate that selective DAT inhibitors may require high DAT occupancy to reduce cocaine self-administration and maintain drug self-administration. Moreover, the behavioral profile of DAT inhibitors may be influenced by actions at other monoamine transporters.Despite extensive efforts directed toward the development of medications to treat cocaine abuse, no effective pharmacotherapy is currently in clinical use. The therapeutic approach of substitute agonist or replacement medication has been successful in the context of methadone maintenance for heroin dependence and nicotine replacement for tobacco use. These positive outcomes, combined with recent advances in the understanding of the neuropharmacology of cocaine, support efforts to develop a similar type of medication for cocaine abuse. Of the various types of medications being pursued, dopamine transporter (DAT) inhibitors represent a promising approach in drug development (Mello and Negus, 1996;Carroll et al., 1999;Howell and Wilcox, 2001). The DAT is an important recognition site for cocaine and likely mediates its reinforcing effects that contribute to significant abuse liability (Ritz et al., 1987;Kuhar et al., 1991;Woolverton and