Dear Editor Stimulants have shown promise as a treatment for cocaine dependence despite resistance in the field to using controlled substances as therapeutic agents for addictive disorders. Conceptually, the goal of substitution pharmacotherapy is to replace a drug of abuse with rapid onset and brief half-life with an agent that has a more gradual onset of action and long halflife to suppress withdrawal and drug craving, reducing the cycle of compulsive use (Grabowski et al. 2004; Mariani and Levin 2012). Within this context, the recent study by Zimmer and colleagues (2013) demonstrated that D-amphetamine treatment during the persistence of a previously established active cocaine self-administration, but not during passive cocaine infusions, resulted in a significant decrease in cocaine-maintained responding under a PR schedule of reinforcement. The authors discussed these findings in terms of associative processes between the drug effect and the environmental cues, culminating into drug-seeking behavior. This potential hypothesis needs to be viewed in relation to an important aspect of addiction, namely the potentiating effect of environmental cues previously paired with drug effects on the development of drug craving in humans (Carter and Tiffany 1999; Niaura et al. 1988). Because several stimuli can become conditioned to the drug for the abusers, the exposure to conditioned reinforcement may lead to relapse into drug-seeking behavior following a period of abstinence thought to play a crucial role in the addictive cycle. Despite these interesting findings by Zimmer and colleagues (2013), one cannot ignore the use of amphetamine by humans. As an alertness-enhancing and euphorigenic drug, amphetamine is frequently used when irregular work/rest patterns cause excessive sleepiness (Akersted and Ficca 1997; Parsons et al. 2006; Robinson and Becker 1986), characterizing it as a sleep deprivation-related drug. In addition, it has been repeatedly demonstrated that sleep deprivation shares similar neurobiological effects with psychostimulants (Demontis et al. 1990; Fadda et al. 1993; Nunes et al. 1994; Tufik 1981a, b). In this scenario, studies from our group have been conducted in order to investigate the relationship between sleep deprivation and addiction. Of note, we demonstrated that the sleep condition affects amphetamine-induced behavioral changes by specifically modulating its conditioned component. Context-dependent behavioral sensitization to amphetamine is potentiated by sleep deprivation procedures, and a sleep rebound period can attenuate it (Calzavara et al. 2008; Frussa-Filho et al. 2004). In the study under consideration, Zimmer et al. (2013) propose a continuous and passive infusion of amphetamine as a potential treatment to reduce the reinforcing effectiveness of cocaine. Nonetheless, this therapeutic approach would suppress the sleep pattern of addicts. Because it has been extensively demonstrated that sleep disorders, which may impair addiction treatment bymodulating the drug–environment conditioning, are concomitant features in patients with addictive disorders (Canellas and de Lecea 2012; Mahfoud et al. 2009), characterizing a vicious cycle, this prolonged substitution pharmacotherapy could be dangerous in the clinic. Indeed, regarding the authors’ findings, the role of the environment needs to be considered not only in the treatment of the contingent cocaine group but also in that of the noncontingent This letter is in memory of Dr. Roberto Frussa-Filho, who dedicated his entire life to Science, because aman is alivewhile his name is still spoken.