New drugs to treat alcohol addiction not quick solutions

Since addiction has become recognized as an illness, there has been a quest to have more traditional medication treatment alternatives. Two new medicines to help individuals with alcohol dependence, Campral and Vivitrol, have been introduced in the past five years. We’ll explore the benefits and drawbacks surrounding these two medications.

Patients need to understand when using these medications that the medicine can be a benefit, but it is not a miracle cure. The patient who has a full appreciation of the medicine’s limitations and also a desire to seek treatment will experience the most success.

Campral

In 2004, the FDA approved a this medicine for the maintenance of abstinence in patients with alcohol dependence. Campral (acamprosate calcium) was the first new medicine in almost a decade for the treatment of alcohol dependence.

Research has shown that individuals who abuse alcohol for a long period of time can upset the balance of chemicals in their brains. Campral was introduced to help restore the chemical balance that has been disrupted by long-term excessive drinking. Campral works by targeting an individual’s craving to drink alcohol. The medicine’s best outcome is to help the individual abstain from and stop thinking about the need for alcohol.

Campral is an oral medication. Once an individual begins taking Campral, it usually takes about five days for it to reach effective levels in the body. To be most effective, the individual needs to take Campral for at least six months to a year while he is in treatment for the addiction.

Drawbacks to this medicine include its cost — which can be expensive — and the fact that individuals need to be responsible for taking the medicine three times a day as prescribed. Campral is safe to take with other prescription medications, including those for anxiety, depression and sleep disorders.

My experience has matched what the company has proposed — that Campral is effective for people who are motivated, committed to alcohol abstinence and involved in other treatment programs and Alcoholics Anonymous (AA). Campral is not helpful for people who use it as a stand-alone treatment. Often people are looking for an easier, softer treatment and they think Campral is the answer.

Vivitrol

In April 2006, Vivitrol became the first injectable drug available to treat alcohol dependence. The FDA approved Vivitrol for individuals in active treatment who have not had a drink for at least one week.

Since 1984 the oral version of this medication, naltrexone, has been available, and in 2006 the injectable version was developed to make it easier for people recovering from alcohol dependence to use it more consistently.

Vivitrol is a once-a-month injection that is similar to Campral in that its goal is to reduce an individual’s cravings for alcohol and to encourage abstinence.

Vivitrol is an opiate receptor antagonist medicine. It blocks the effect of the brain’s natural opiatelike chemicals, which have a large number of normal functions in the brain that cause pleasurable experiences.

By reducing the pleasurable feeling an individual experiences while drinking, Vivitrol’s goal is to help individuals consume less alcohol and not have the desire to binge drink.

One drawback to Vivitrol is the cost. One injection’s cost can be very expensive and often requires a co-pay, if the individual has insurance. For those without insurance, this medicine can be cost-prohibitive. It is recommended that the individual receive a monthly shot for a period of six months to a year to achieve the best results. If the individual cannot afford Vivitrol, Naltrexone, a once-a-day oral version of Vivitrol, is available at a lower cost.

With active ongoing alcohol dependence treatment, Campral and Vivitrol can be effective medications to help an individual in recovery.

The individual needs to remember that she cannot just take the medication and see the same results as she would if she were getting both treatment and medication.

The individual has to have a lifelong commitment to abstinence from alcohol.

There is a wide variety of alcohol dependence recovery programs available to individuals in need of treatment.

If you know someone or if you are struggling with alcohol dependence, please seek the help of a professional.

James Macke, M.D., is a certified addictionologist for Southwestern Behavioral Healthcare Inc. and Mulberry Center Inc.

source: Evansville Courier and Press

More Treatment & Detox Articles

Alcohol rehab numbers outstrip hard drugs

Alcohol has again outstripped illicit drugs like heroin and ice as the number one reason for admissions at a major Australian rehab service. Problem drinking topped Odyssey House’s 2009 admission list, because 26 per cent of those seeking care over the year named it as their “principal drug of concern”. It was fractionally down from….

Drinking problem: Too many people binge

Alcohol-related crime is much higher in communities where more people binge drink, and too many people binge drink in Inverell. That information has come from the initial findings of the Alcohol Action in Rural Communities (AARC) project. Close collaborations with members of the Inverell community and the AARC project have helped reveal that rural NSW….

Participants: County Alcohol treatment program works

Todd Hunter has been sober for two-and-a-half years. The 47-year-old Appleton man credits his sobriety in part to an alcohol program that will soon be available to convicted drunk drivers across the state. After Hunter was convicted of his third drunken driving offense in 2007, his attorney suggested he participate in the Safe Streets Treatment….

‘One night can affect the rest of your future’

There’s a calendar Bill’s friends at school keep, but it doesn’t have exam dates or football games on it. “We mark our calendars every time we find out someone’s parents are going to be out of town,” the 17-year-old Sandburg High School senior said. That’s when 10, 20, 50 kids descend on the house with….

Good news, bad news about teen drinking

Aaron Holsinger said he doesn’t like telling his tragic tale, but he really has no choice. Holsinger, now 28, was convicted of negligent homicide after his girlfriend, Gina Erickson, died in a 2001 drunken-driving accident. He was driving the car. He spent six months in jail, will be on probation until he is 41 and….