LOKEN, Circuit Judge.
Arkansas inmate Robert Heffernan appeals the denial of his third petition for a writ of habeas corpus, asserting that the involuntary administration of antipsychotic drugs deprived him of a fair trial. The district court1 denied Heffernaris petition on the ground that the Supreme Court’s recent decision in Riggins v. Nevada, 504 U.S. 127, 112 S.Ct. 1810, 118 L.Ed.2d 479 (1992), does not excuse his procedural default and abuse of the writ. We affirm.
Heffernan was charged with the February 1980 rape and murder of a fourteen-year-old girl in Saline County, Arkansas. In December 1980, he was admitted to the Arkansas State Hospital (“ASH”) for a mental competency evaluation. On January 14, 1981, Hef-fernan was discharged to the Saline County Sheriff after the ASH evaluators found him competent to stand trial and mentally responsible at the time of the crime. Two days later, he was readmitted to ASH after he attempted suicide in jail. He remained at ASH through his April 1981 trial except for “visits out” to the University of Arkansas Medical Center and to court for one hearing and the three-day trial.
[333]*333Heffernan did not assert an insanity defense at trial, nor claim that he was incompetent to stand trial, nor testify in his own defense. The jury convicted him of capital murder, and he was sentenced to life- imprisonment without the possibility of parole. The Supreme Court of Arkansas affirmed. Heffernan v. State, 278 Ark. 325, 645 S.W.2d 666 (1983).
In 1986, Heffernan filed his first federal habeas petition in district court, raising a number of issues but not challenging the-administration of antipsychotic drugs during his trial. After we remanded for an eviden-tiary hearing, see Heffernan v. Lockhart, 834 F.2d 1431 (8th Cir.1987), the district court conducted a hearing and dismissed the petition on the merits. We affirmed. Heffernan v. Lockhart, No. 89-2447, 923 F.2d 857 (8th Cir. Dec. 28, 1990).
Heffernan then petitioned the state court for a writ of habeas corpus, asserting that he was incompetent to stand trial and challenging the sufficiency of the evidence., The state court denied that petition, concluding that Heffernan had failed to state grounds for habeas relief under Arkansas law.
Heffernan then filed a second habeas corpus petition in the district court, asserting his incompetence at the time of trial. The district court dismissed this petition as an abuse of the writ, noting that “it is undisputed that [Heffernan] was aware of this ground during the pendency of his previous habeas corpus petition [and he] offers no adequate excuse for failing to raise the known ground in the initial habeas suit.” We denied a-eertificate of probable cause and dismissed Heffernan’s appeal. Heffernan v. Lockhart, No. 92-1536 (8th Cir. Apr. 1, 1992).
Heffernan then filed this third habeas petition, alleging for the first time that, while at ASH, he was involuntarily given antipsychotic drugs such as amitriptyline, chlordiazepox-ide, doxepin, and perphenazine, and that the involuntary administration of these antipsy-chotic drugs during trial violated his Sixth Amendment and Fourth Amendment rights as defined in Riggins v. Nevada, 504 U.S. 127, 112 S.Ct. 1810, 118 L.Ed.2d 479 (1992). The district court' dismissed this claim as procedurally barred — Heffernan néver raised it in state court — and as an abuse of the federal writ. Heffernan appeals, arguing that Riggins articulated a new rule that should be applied retroactively under Teague v. Lane, 489 U.S. 288, 109 S.Ct. 1060, 103 L.Ed.2d-334 (1989), and that this new rule excuses his procedural default and abuse of the writ.
A habeas petitioner may excuse procedural bar and abuse of the writ by showing cause and prejudice, or actual innocence. See McCleskey v. Zant, 499 U.S. 467, 489-94, 111 S.Ct. 1454, 1467-70, 113 L.Ed.2d 517 (1991). This appeal turns on the issue of cause, which the Supreme Court has defined generally as “ ‘some objective factor external to the defense [that] impeded counsel’s efforts’ to raise the claim in state court” or in a prior habeas petition. Id. at 493, 111 S.Ct. at 1470. Cause may include “a showing that the factual or legal basis for a claim was not reasonably available to counsel.” Murray v. Carrier, 477 U.S. 478, 488, 106 S.Ct. 2639, 2645, 91 L.Ed.2d 397 (1986). Heffernan argdés that his involuntary medication claim was both legally and factually unavailable until after the denial of his second habeas petition.
1. In the district court, Heffernan argued that he did not know that involuntary medication violated his constitutional rights until the Riggins decision in May 1992. Legal unavailability may be cause excusing procedural bar or abuse of the writ, but the standard is a strict one^-the constitutional claim must be “so novel that its legal basis is not reasonably available to counsel.” Reed v. Ross, 468 U.S. 1, 16, 104 S.Ct. 2901, 2910, 82 L.Ed.2d 1 (1984); Leggins v. Lockhart, 822 F.2d 764 (8th Cir.1987).2 Thus, we must [334]*334examine whether Riggins announced a novel constitutional doctrine.
In Riggins, a criminal defendant who had raised an insanity defense unsuccessfully moved to suspend administration of antipsy-chotic drugs until the end of his trial so that the jury could better evaluate his mental state. Defendant then testified at the trial. The Supreme Court reversed the conviction and remanded for a hearing to determine whether “antipsychotic medication was medically appropriate and, considering less intrusive alternatives, essential for the sake of Riggins’ own safety or the safety of others.” 504 U.S. at-, 112 S.Ct. at 1815. Absent such a determination, involuntary antipsy-chotic medication may impermissibly impair “constitutionally protected trial rights.” Id. at-, 112 S.Ct. at 1816.
The various opinions in Riggins identify two “constitutionally protected trial rights” that are implicated when the State involuntarily administers antipsychotic medication to a criminal defendant. The first — impairment of the defendant’s right to present an insanity defense — is not even present in this case, because Heffernan did not claim insanity and did not testify. The second constitutional concern raised by the administration of anti-psychotic medication to a criminal defendant is the danger that the defendant’s demeanor in the courtroom during trial and ability to assist counsel with the defense will be prejudiced. See Riggins, 504 U.S. at-, 112 S.Ct. at 1819-20 (concurring opinion of Justice Kennedy). This is the prejudice now claimed by Heffernan — that he was unable to fully assist counsel and unable to testify in his own defense because of the medication.
These are not “novel” constitutional issues, those that represent a “clear break with the past.” Reed v. Ross, 468 U.S. at 18, 104 S.Ct. at 2911. Prior to Riggins,
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LOKEN, Circuit Judge.
Arkansas inmate Robert Heffernan appeals the denial of his third petition for a writ of habeas corpus, asserting that the involuntary administration of antipsychotic drugs deprived him of a fair trial. The district court1 denied Heffernaris petition on the ground that the Supreme Court’s recent decision in Riggins v. Nevada, 504 U.S. 127, 112 S.Ct. 1810, 118 L.Ed.2d 479 (1992), does not excuse his procedural default and abuse of the writ. We affirm.
Heffernan was charged with the February 1980 rape and murder of a fourteen-year-old girl in Saline County, Arkansas. In December 1980, he was admitted to the Arkansas State Hospital (“ASH”) for a mental competency evaluation. On January 14, 1981, Hef-fernan was discharged to the Saline County Sheriff after the ASH evaluators found him competent to stand trial and mentally responsible at the time of the crime. Two days later, he was readmitted to ASH after he attempted suicide in jail. He remained at ASH through his April 1981 trial except for “visits out” to the University of Arkansas Medical Center and to court for one hearing and the three-day trial.
[333]*333Heffernan did not assert an insanity defense at trial, nor claim that he was incompetent to stand trial, nor testify in his own defense. The jury convicted him of capital murder, and he was sentenced to life- imprisonment without the possibility of parole. The Supreme Court of Arkansas affirmed. Heffernan v. State, 278 Ark. 325, 645 S.W.2d 666 (1983).
In 1986, Heffernan filed his first federal habeas petition in district court, raising a number of issues but not challenging the-administration of antipsychotic drugs during his trial. After we remanded for an eviden-tiary hearing, see Heffernan v. Lockhart, 834 F.2d 1431 (8th Cir.1987), the district court conducted a hearing and dismissed the petition on the merits. We affirmed. Heffernan v. Lockhart, No. 89-2447, 923 F.2d 857 (8th Cir. Dec. 28, 1990).
Heffernan then petitioned the state court for a writ of habeas corpus, asserting that he was incompetent to stand trial and challenging the sufficiency of the evidence., The state court denied that petition, concluding that Heffernan had failed to state grounds for habeas relief under Arkansas law.
Heffernan then filed a second habeas corpus petition in the district court, asserting his incompetence at the time of trial. The district court dismissed this petition as an abuse of the writ, noting that “it is undisputed that [Heffernan] was aware of this ground during the pendency of his previous habeas corpus petition [and he] offers no adequate excuse for failing to raise the known ground in the initial habeas suit.” We denied a-eertificate of probable cause and dismissed Heffernan’s appeal. Heffernan v. Lockhart, No. 92-1536 (8th Cir. Apr. 1, 1992).
Heffernan then filed this third habeas petition, alleging for the first time that, while at ASH, he was involuntarily given antipsychotic drugs such as amitriptyline, chlordiazepox-ide, doxepin, and perphenazine, and that the involuntary administration of these antipsy-chotic drugs during trial violated his Sixth Amendment and Fourth Amendment rights as defined in Riggins v. Nevada, 504 U.S. 127, 112 S.Ct. 1810, 118 L.Ed.2d 479 (1992). The district court' dismissed this claim as procedurally barred — Heffernan néver raised it in state court — and as an abuse of the federal writ. Heffernan appeals, arguing that Riggins articulated a new rule that should be applied retroactively under Teague v. Lane, 489 U.S. 288, 109 S.Ct. 1060, 103 L.Ed.2d-334 (1989), and that this new rule excuses his procedural default and abuse of the writ.
A habeas petitioner may excuse procedural bar and abuse of the writ by showing cause and prejudice, or actual innocence. See McCleskey v. Zant, 499 U.S. 467, 489-94, 111 S.Ct. 1454, 1467-70, 113 L.Ed.2d 517 (1991). This appeal turns on the issue of cause, which the Supreme Court has defined generally as “ ‘some objective factor external to the defense [that] impeded counsel’s efforts’ to raise the claim in state court” or in a prior habeas petition. Id. at 493, 111 S.Ct. at 1470. Cause may include “a showing that the factual or legal basis for a claim was not reasonably available to counsel.” Murray v. Carrier, 477 U.S. 478, 488, 106 S.Ct. 2639, 2645, 91 L.Ed.2d 397 (1986). Heffernan argdés that his involuntary medication claim was both legally and factually unavailable until after the denial of his second habeas petition.
1. In the district court, Heffernan argued that he did not know that involuntary medication violated his constitutional rights until the Riggins decision in May 1992. Legal unavailability may be cause excusing procedural bar or abuse of the writ, but the standard is a strict one^-the constitutional claim must be “so novel that its legal basis is not reasonably available to counsel.” Reed v. Ross, 468 U.S. 1, 16, 104 S.Ct. 2901, 2910, 82 L.Ed.2d 1 (1984); Leggins v. Lockhart, 822 F.2d 764 (8th Cir.1987).2 Thus, we must [334]*334examine whether Riggins announced a novel constitutional doctrine.
In Riggins, a criminal defendant who had raised an insanity defense unsuccessfully moved to suspend administration of antipsy-chotic drugs until the end of his trial so that the jury could better evaluate his mental state. Defendant then testified at the trial. The Supreme Court reversed the conviction and remanded for a hearing to determine whether “antipsychotic medication was medically appropriate and, considering less intrusive alternatives, essential for the sake of Riggins’ own safety or the safety of others.” 504 U.S. at-, 112 S.Ct. at 1815. Absent such a determination, involuntary antipsy-chotic medication may impermissibly impair “constitutionally protected trial rights.” Id. at-, 112 S.Ct. at 1816.
The various opinions in Riggins identify two “constitutionally protected trial rights” that are implicated when the State involuntarily administers antipsychotic medication to a criminal defendant. The first — impairment of the defendant’s right to present an insanity defense — is not even present in this case, because Heffernan did not claim insanity and did not testify. The second constitutional concern raised by the administration of anti-psychotic medication to a criminal defendant is the danger that the defendant’s demeanor in the courtroom during trial and ability to assist counsel with the defense will be prejudiced. See Riggins, 504 U.S. at-, 112 S.Ct. at 1819-20 (concurring opinion of Justice Kennedy). This is the prejudice now claimed by Heffernan — that he was unable to fully assist counsel and unable to testify in his own defense because of the medication.
These are not “novel” constitutional issues, those that represent a “clear break with the past.” Reed v. Ross, 468 U.S. at 18, 104 S.Ct. at 2911. Prior to Riggins, if the State involuntarily medicated an in-custody criminal defendant to the extent that presentation of an insanity defense was compromised, or the defendant was unable to cooperate in the defense and would present a bad image to the jury, trial counsel would know to object and to argue that a trial under such circumstances would not comport with due process. The Supreme Court may not have considered these issues before Riggins, but both the issues and the Court’s likely favorable response to those issues were reasonably anti-cipatable to competent trial attorneys.
Moreover, the constitutional issues discussed in Riggins were recognized and had been the basis for relief on appeal in a number of state cases decided before Heffernan’s trial. See In re Pray, 133 Vt. 253, 336 A.2d 174 (1975); State v. Murphy, 56 Wash.2d 761, 355 P.2d 323 (1960) (en banc). In State v. Maryott, 6 Wash.App. 96, 492 P.2d 239 (1971), the court reversed a conviction, suggesting that heavily sedating a criminal defendant at trial is akin to bringing the defendant to court in shackles, a practice condemned, except when absolutely necessary, in Illinois v. Allen, 397 U.S. 337, 90 S.Ct. 1057, 25 L.Ed.2d 353 (1970). And in Commonwealth v. Louraine, 390 Mass. 28, 453 N.E.2d 437, 444 (1983), a case factually similar to Riggins that was decided after Heffer-nan’s, trial but before his first habeas petition, the court held that involuntarily drugging a defendant who claimed insanity at trial violated the Sixth Amendment right “to present the defendant’s version of the facts,” a right applied to the States in Washington v. Texas, 388 U.S. 14, 19, 87 S.Ct. 1920, 1923, 18 L.Ed.2d 1019 (1967). These cases confirm that the constitutional claim Heffernan raises was “reasonably available to counsel” at the time of his procedural defaults and prior habeas petitions.
“Where the basis of a constitutional claim is available, and other defense counsel have perceived and litigated that claim, the demands of comity and finality counsel against labeling alleged unawareness, of the objection as cause for a procedural default.” Engle v. Isaac, 456 U.S. 107, 134, 102 S.Ct. 1558, 1575, 71 L.Ed.2d 783 (1982). Although the Rig-gins decision no doubt provided Heffernan with a new idea for his pro se habeas petition, we conclude that it was^ not a constitutionally novel decision that may excuse his procedural default and abuse of the writ.
2. Heffernan also argued to the district court, and his appointed counsel urges [335]*335on appeal, that the State withheld ASH records establishing the involuntary medication and did not tell Heffernan or his attorney what drugs were being administered both before and during the trial. This is cause excusing his abuse of the writ, Heffernan contends, because it was official interference that made the factual bases for his claim not reasonably available to counsel. See Murray v. Carrier, 477 U.S. at 488, 106 S.Ct. at 2645.
The State responds that the factual bases for this claim have always been available to Heffernan because he had first hand knowledge that he was being medicated, and his medical records were available to his counsel. We agree. Heffernan made no contemporaneous objection to the medication he was receiving. Trial counsel was surely aware that Heffernan was readmitted to ASH after trying to commit suicide. Because Heffer-nan’s defense at trial was that he was innocent — that a fellow transient had borrowed his gun and committed the rape and murder — it is doubtful that Heffernan’s attorney believed that having his client under antidepressant medication would prejudice the defense. Heffernan’s assertion many years later that he was so heavily drugged that he could not testify and could not tell counsel how ASH was' treating him is inherently preposterous. But even if true, it is also undisputed that Heffernan was under no medication when he filed his initial habeas petition; at a minimum, he should have raised the issue at that time, so abuse of that writ is not excused.
For the foregoing reasons, we conclude that Heffernan has failed to show cause for not raising this issue in his first two habeas petitions, and in the state courts. Heffernan does not contend that, but for this alleged constitutional error, “it is more likely than not that no reasonable juror would have convicted him,” the other exception to procedural bar and abuse of the writ. Schlup v. Delo, — U.S. -, -, 115 S.Ct. 851, 868, 130 L.Ed.2d 808 (1995). Thus, the district court properly denied his involuntary medication claim as procedurally barred and an abuse of the writ.
We have carefully considered the other issues that appointed counsel has vigorously raised on appeal. All must be rejected, either because they were determined adversely to Heffernan in the prior habeas proceedings, or because they were not raised and are procedurally barred and an abuse of the writ. The judgment of the district court is affirmed.