Abuse of psychostimulants such as cocaine and amphetamines has a tremendous social and economic impact. Although replacement therapies are offered for addiction to opioids, nicotine, and alcohol, there is no approved replacement treatment for psychostimulant addiction. Recent studies on an emerging group of benztropine-and rimcazole-based compounds provide hope that replacement therapies for cocaine and amphetamine addiction may come in the near future. A new study (p. 813) now investigates the molecular interaction of the benztropine and rimcazole compounds with their target, the dopamine transporter, and provides an intriguing explanation as to why use of these compounds, unlike cocaine, do not lead to locomotor stimulation and drug discrimination behaviors in animal models.Drug use typically begins as a voluntary decision that, with repeated exposure, is superseded by involuntary craving and pursuit of illicit agents despite adverse physical and social outcomes (Volkow and Li, 2005). Overall, the social and economic impact of drug addiction is enormous. Estimates indicate the presence of nearly 30 million drug addicts in the United States and Western Europe alone (Pouletty, 2002). Cocaine and amphetamine addicts face distinct challenges in kicking their habits because, unlike those seeking treatment for alcoholism or opiate addiction, no clinically proven substitution therapies are available for psychostimulant abuse. The psychostimulant properties of cocaine are considered to be mediated primarily through the blockade of the dopamine (DA) transporter (DAT), which results in increased levels of extracellular DA. This concept has gained perhaps its strongest recent support from the work of Chen et al. (2006) using transgenic mice bearing engineered mutations in DAT that reduce cocaine potency in vitro, where cocaine becomes a motor depressant and loses the ability to support conditioned place preference behavior. One often-discussed but currently impractical concept for reducing the grip of cocaine on the DAT in human addicts is the use of a nonreinforcing blocker of cocaine binding that does not itself perturb DA transport (Lin and Madras, 2006). This ambitious goal first requires the identification of molecules that can bind to DAT in a mode distinct from that of cocaine and most other DAT antagonists. In a new study, Loland et al. (2008) find that benztropine-and rimcazole-based compounds, recently reported as potential medications for cocaine addiction (Dutta et al., 2003), promote non-cocaine-like conformations of DAT and could be a pivotal step toward realizing psychostimulant substitution therapy.We have long known that cocaine and other psychostimulants can potentiate DA signaling by binding to DATs and preventing DA clearance from the synapse. The study by Loland et al. (2008) supports a more nuanced view that the physiological result of DAT blockade depends heavily upon the temporal profile of the drug's access to the transporter and on the conformational changes produced after binding. This ...