Schmidt L G, Dufeu P, Kuhn S, Rommelspacher H
Psychiatrische Klinik und Poliklinik, Freien Universität Berlin.
Nervenarzt. 1995 May;66(5):323-30.
There is increasing evidence that "anticraving" drugs are promising agents in the treatment of alcoholics. Clinical studies indicate favorable effects of drugs with different pharmacological profiles (e.g., dopaminergic, serotonergic, anti-opioidergic, antiglutamatergic) on abnormal drinking behavior and relapse tendencies. Interactions with the limbic reward system seem to be involved. As several drugs will probably be registered in Germany, the need for integrating these drugs in a complex rehabilitation program is emphasized. Many clinical issues regarding the practical use of these drugs await further clarification.
越来越多的证据表明,“抗渴求”药物有望成为治疗酗酒者的药物。临床研究表明,具有不同药理特性(如多巴胺能、5-羟色胺能、抗阿片样物质能、抗谷氨酸能)的药物对异常饮酒行为和复发倾向具有积极作用。这些药物似乎与边缘系统奖赏系统存在相互作用。由于几种药物可能会在德国注册,因此强调了将这些药物纳入综合康复计划的必要性。关于这些药物实际应用的许多临床问题有待进一步阐明。