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Status: Bibliographieeintrag

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Verfasst von:Brink, Wim van den [VerfasserIn]   i
 Addolorato, Giovanni [VerfasserIn]   i
 Aubin, Henri-Jean [VerfasserIn]   i
 Benyamina, Amine [VerfasserIn]   i
 Caputo, Fabio [VerfasserIn]   i
 Dematteis, Maurice [VerfasserIn]   i
 Gual, Antoni [VerfasserIn]   i
 Lesch, Otto-Michael [VerfasserIn]   i
 Mann, Karl [VerfasserIn]   i
 Maremmani, Icro [VerfasserIn]   i
 Nutt, David [VerfasserIn]   i
 Paille, François [VerfasserIn]   i
 Perney, Pascal [VerfasserIn]   i
 Rehm, Jürgen [VerfasserIn]   i
 Reynaud, Michel [VerfasserIn]   i
 Simon, Nicolas [VerfasserIn]   i
 Söderpalm, Bo [VerfasserIn]   i
 Sommer, Wolfgang H. [VerfasserIn]   i
 Walter, Henriette [VerfasserIn]   i
 Spanagel, Rainer [VerfasserIn]   i
Titel:Efficacy and safety of sodium oxybate in alcohol-dependent patients with a very high drinking risk level
Verf.angabe:Wim van den Brink, Giovanni Addolorato, Henri-Jean Aubin, Amine Benyamina, Fabio Caputo, Maurice Dematteis, Antoni Gual, Otto-Michael Lesch, Karl Mann, Icro Maremmani, David Nutt, François Paille, Pascal Perney, Jürgen Rehm, Michel Reynaud, Nicolas Simon, Bo Söderpalm, Wolfgang H. Sommer, Henriette Walter and Rainer Spanagel
E-Jahr:2018
Jahr:17 July 2018
Umfang:18 S.
Fussnoten:Gesehen am 10.03.2020
Titel Quelle:Enthalten in: Addiction biology
Ort Quelle:Hoboken, NJ [u.a.] : Wiley-Blackwell, 1996
Jahr Quelle:2018
Band/Heft Quelle:23(2018), 4, Seite 969-986
ISSN Quelle:1369-1600
Abstract:Medication development for alcohol relapse prevention or reduction of consumption is highly challenging due to methodological issues of pharmacotherapy trials. Existing approved medications are only modestly effective with many patients failing to benefit from these therapies. Therefore, there is a pressing need for other effective treatments with a different mechanism of action, especially for patients with very high (VH) drinking risk levels (DRL) because this is the most severely affected population of alcohol use disorder patients. Life expectancy of alcohol-dependent patients with a VH DRL is reduced by 22 years compared with the general population and approximately 90 000 alcohol-dependent subjects with a VH DRL die prematurely each year in the EU (Rehm et al. ). A promising new medication for this population is sodium oxybate, a compound that acts on GABAB receptors and extrasynaptic GABAA receptors resulting in alcohol-mimetic effects. In this article, a European expert group of alcohol researchers and clinicians summarizes data (a) from published trials, (b) from two new—as yet unpublished—large clinical trials (GATE 2 (n = 314) and SMO032 (n = 496), (c) from post hoc subgroup analyses of patients with different WHO-defined DRLs and (d) from multiple meta-analyses. These data provide convergent evidence that sodium oxybate is effective especially in a subgroup of alcohol-dependent patients with VH DRLs. Depending on the study, abstinence rates are increased up to 34 percent compared with placebo with risk ratios up to 6.8 in favor of sodium oxybate treatment. These convergent data are supported by the clinical use of sodium oxybate in Austria and Italy for more than 25 years. Sodium oxybate is the sodium salt of γ-hydroxybutyric acid that is also used as a recreational (street) drug suggestive of abuse potential. However, a pharmacovigilance database of more than 260 000 alcohol-dependent patients treated with sodium oxybate reported very few adverse side effects and only few cases of abuse. We therefore conclude that sodium oxybate is an effective, well-tolerated and safe treatment for withdrawal and relapse prevention treatment, especially in alcohol-dependent patients with VH DRL.
DOI:doi:10.1111/adb.12645
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1111/adb.12645
 Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/adb.12645
 DOI: https://doi.org/10.1111/adb.12645
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:acamprosate
 alcohol dependence
 alcoholism
 drinking risk level
 gamma-hydroxybutyric acid
 GHB
 heavy drinking
 nalmefene
 nalrexone
 sodium oxybate
K10plus-PPN:1692192779
Verknüpfungen:→ Zeitschrift

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