Haro G, Cervera G, Martinez-Raga J, Pérez-Gálvez B, Fernandez-Garcés M, Sanjuan J
Servicio de Psiquiatria, Hospital Clínico de Valencia, Universidad de Valencia, Valencia, Spain.
Actas Esp Psiquiatr. 2003 Sep-Oct;31(5):284-98.
The second part of this review deals with those neuroscientific aspects specific to the development and maintenance of dependence of three substances, two legal drugs (alcohol and tobacco) and a group of medications with abuse potential, benzodiazepines. Based on this context, the different pharmacological treatments of alcohol dependence, both related to detoxification and dehabituation, are discussed first. Treatment of the benzodiazepine withdrawal syndrome, together with the most outstanding aspects in the recent literature on relapse prevention, are reviewed. The publications on the treatment of nicotine dependence, both on replacement therapies and on bupropion, are analyzed. Finally, a critical reflection of the sources used to conduct this two-part review is done.
本综述的第二部分探讨了三种物质依赖的发展和维持所特有的神经科学方面,这三种物质分别是两种合法药物(酒精和烟草)以及一类具有滥用潜力的药物——苯二氮䓬类药物。基于此背景,首先讨论了与酒精依赖的解毒和脱瘾相关的不同药物治疗方法。回顾了苯二氮䓬类药物戒断综合征的治疗方法以及近期文献中关于预防复发的最突出方面。分析了有关尼古丁依赖治疗的出版物,包括替代疗法和安非他酮。最后,对用于进行这两部分综述的资料来源进行了批判性反思。