Literature DB >> 8561215

Experience of a "slip" among alcoholics treated with naltrexone or placebo.

S S O'Malley1, A J Jaffe, S Rode, B J Rounsaville.   

Abstract

OBJECTIVE: This study tested the hypothesis that naltrexone reduces relapse rates among alcoholics by modifying the reinforcing effects of initial alcohol consumption and alcohol-induced craving.
METHOD: Sixteen alcoholic patients treated with naltrexone and 27 treated with placebo who participated in a 12-week clinical trial reported retrospectively on their subjective responses to their first episode of a lapse into alcohol consumption and on their reasons for terminating the drinking episode.
RESULTS: Compared to the subjects who received placebo, the subjects who received naltrexone reported lower levels of craving for alcohol and were more likely to give reasons for terminating drinking that were consistent with decreased incentive to drink.
CONCLUSIONS: These findings support the hypothesis that a central effect of naltrexone is the modification of alcohol-induced craving.

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Year:  1996        PMID: 8561215     DOI: 10.1176/ajp.153.2.281

Source DB:  PubMed          Journal:  Am J Psychiatry        ISSN: 0002-953X            Impact factor:   18.112


  22 in total

1.  Combining naltrexone and prazosin in a single oral medication decreases alcohol drinking more effectively than does either drug alone.

Authors:  Janice C Froehlich; Brett J Hausauer; Dennis D Rasmussen
Journal:  Alcohol Clin Exp Res       Date:  2013-07-22       Impact factor: 3.455

2.  Naltrexone and combined behavioral intervention effects on trajectories of drinking in the COMBINE study.

Authors:  Ralitza Gueorguieva; Ran Wu; Dennis Donovan; Bruce J Rounsaville; David Couper; John H Krystal; Stephanie S O'Malley
Journal:  Drug Alcohol Depend       Date:  2009-12-06       Impact factor: 4.492

3.  Compulsive Seekers: Our take. Two Clinicians' Perspective on a New Animal Model of Addiction.

Authors:  David H Epstein; William J Kowalczyk
Journal:  Neuropsychopharmacology       Date:  2017-06-27       Impact factor: 7.853

4.  Naltrexone for alcohol-dependent patients.

Authors:  J Ahmadi; M Babaeebeigi; I Maany; J Porter; M Mohagheghzadeh; N Ahmadi; G Dehbozorgi
Journal:  Ir J Med Sci       Date:  2004 Jan-Mar       Impact factor: 1.568

5.  Long-term opioid blockade and hedonic response: preliminary data from two open-label extension studies with extended-release naltrexone.

Authors:  Charles P O'Brien; David R Gastfriend; Robert F Forman; Edward Schweizer; Helen M Pettinati
Journal:  Am J Addict       Date:  2010-12-28

6.  Effects of naltrexone on alcohol drinking patterns and extinction of alcohol seeking in baboons.

Authors:  Barbara J Kaminski; Angela N Duke; Elise M Weerts
Journal:  Psychopharmacology (Berl)       Date:  2012-03-27       Impact factor: 4.530

7.  Sweet liking phenotype, alcohol craving and response to naltrexone treatment in alcohol dependence.

Authors:  James C Garbutt; Michael Osborne; Robert Gallop; John Barkenbus; Kathy Grace; Meghan Cody; Barbara Flannery; Alexey B Kampov-Polevoy
Journal:  Alcohol Alcohol       Date:  2009-02-03       Impact factor: 2.826

Review 8.  Recommended drug treatment strategies for the alcoholic patient.

Authors:  A Schaffer; C A Naranjo
Journal:  Drugs       Date:  1998-10       Impact factor: 9.546

9.  Naltrexone augmentation of neuroleptic treatment in alcohol abusing patients with schizophrenia.

Authors:  Ismene L Petrakis; Stephanie O'Malley; Bruce Rounsaville; James Poling; Colette McHugh-Strong; John H Krystal
Journal:  Psychopharmacology (Berl)       Date:  2003-11-21       Impact factor: 4.530

Review 10.  Update on neuropharmacological treatments for alcoholism: scientific basis and clinical findings.

Authors:  Bankole A Johnson
Journal:  Biochem Pharmacol       Date:  2007-08-09       Impact factor: 5.858

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