A Preliminary, Open-Label Study of Naltrexone and Bupropion Combination Therapy for Treating Binge Drinking in Human Subjects.

Aims The combination of bupropion and naltrexone has shown efficacy in reducing binge drinking in animal models. This study assessed the tolerability and potential utility of combined naltrexone and bupropion in reducing binge drinking in human subjects. Methods This preliminary study employed an op...

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Publicado en:Alcohol & Alcoholism Vol. 55; no. 1; pp. 56 - 63
Autores principales: Walter, T Jordan, Navarro, Montserrat, Thiele, Todd E, Pedersen, Cort, Kampov-Polevoy, Alexey, Garbutt, J C
Formato: clinical trial research tables/charts Journal Article
Publicado: Oxford University Press / USA Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2020
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      pub: Oxford University Press / USA
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        10.1093/alcalc/agz076
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        atl: A Preliminary, Open-Label Study of Naltrexone and Bupropion Combination Therapy for Treating Binge Drinking in Human Subjects.
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          Walter, T Jordan
          Navarro, Montserrat
          Thiele, Todd E
          Pedersen, Cort
          Kampov-Polevoy, Alexey
          Garbutt, J C
        affil: Pharmacology Department, University of North Carolina, 120 Mason Farm Road, 4010 Genetic Medicine Building, Campus Box 7365, Chapel Hill, NC 27514, USA
      sug:
        subj:
          Binge Drinking Drug Therapy
          Naltrexone Therapeutic Use
          Bupropion Therapeutic Use
          Drug Combinations
          Research Subjects
          Treatment Outcomes Evaluation
          Human
          Single-Blind Studies
          Clinical Trials
          Prospective Studies
          Male
          Female
          Research Subject Recruitment
          Bupropion Administration and Dosage
          Naltrexone Administration and Dosage
          Monitoring, Physiologic
          Insomnia
          Headache
          Nausea
          Diarrhea
          Male
          Female
      ab: Aims The combination of bupropion and naltrexone has shown efficacy in reducing binge drinking in animal models. This study assessed the tolerability and potential utility of combined naltrexone and bupropion in reducing binge drinking in human subjects. Methods This preliminary study employed an open-label, single-arm, 12-week, prospective design. Twelve men and women who exhibited a minimum of five (men) or three (women) binge drinking episodes per month over the past 3 months were recruited. All subjects received both bupropion-extended release 300 mg/day and naltrexone 50 mg/day and were monitored throughout the 3-month treatment period. Binge drinking was assessed using the timeline follow-back method. Results Treatment with combined naltrexone and bupropion reduced the average number of drinks per binge drinking day from 7.8 drinks to 6.4 drinks and reduced the average percentage of binge drinking days per month from 19% (5.7 days/month) to 5% (1.5 days/month). Naltrexone and bupropion were generally well tolerated, with insomnia, headache and nausea/diarrhea being the most common side effects. Six subjects elected to stay on medication after the trial. Conclusions This study suggests that combined naltrexone and bupropion therapy should be further investigated for tolerability and efficacy in reducing binge drinking in humans.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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