Wednesday, June 27, 2012

A Pill to Stop Alcohol Cravings

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If only the cravings for alcohol would go away, population trying to overcome the grip of alcoholism would stand a much better occasion of fighting off the disease. Anybody who has had alcohol cravings knows what this is all about. It's one thing to taste a miniature temptation, but it's another to have an overwhelming, persistent urge and need for alcohol. There's all the time a problem. First we want to take the edge off the troubles of the day, so we have a drink. Then we want to take the edge off the craving for alcohol.

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Those who have participated in 12-Step recovery turn to their "higher power" for drive and support, trusting that the "higher power" will restore them to sanity. They decree turn their will and their lives over to the care of God, as they understand Him, to be a guiding light and source of comfort. This is done straight through an ever-deepening, personal relationship. But this is America and we want relief Now. There might be a pharmacological intervention.

The drug baclofen is a muscle relaxant, used to treat muscle symptoms caused by complicated sclerosis. The symptoms include spasms, stiffness and pain. Some of the side effects include impairment of reasoning or reactions, so patients who need to be awake and alert need to be right when using this drug. Patients who have used baclofen for a long time may taste serious seclusion symptoms, such as seizures or hallucinations. The use of baclofen to help alcoholics with their cravings is relatively new, so there isn't an fullness of clinical testing

I read an record on medscape.com, which discussed results of clinical testing for patients with developed liver disease. The 2007 study cast baclofen in a favorable light for a healing intervention.

"In conclusion, our results propose that baclofen, because of its anti-craving activity and safety, could have an leading role for treatment of alcohol-dependent patients with developed liver disease," the researchers, with first author Giovanni Addolorato, Md, from the institute of Internal Medicine, Catholic University of Rome, in Italy, write. "We have shown that a pharmacological agent can promote alcohol abstinence and forestall alcohol relapse in individuals with alcoholic liver disease."

Patients with acidosis, who cannot stop drinking and are faced with death if they fail to stop doing so, and any treatment can't move send as long as they are drinking. But this is a severe case. What about other patients with alcoholism, who are not in the latter stages of liver disease, or who are in one of the earlier stages of alcoholism?

Assuming that baclofen is safe and approved for treatment of alcohol cravings does it record a one-stop cure for alcoholism? This introduces an enthralling topic for discussion. Aside from corporal dependence or alcohol cravings, what about other factors that conduce to one becoming an alcoholic, such as psychological makeup, environment or genetics? If I drink, for example, to numb the pain in my life, will taking away alcohol cravings help that pain to subside?

I can see baclofen as a piece of the solution puzzle, in miniature cases. But I can't help but get back to 12 Step, because it is incorporated into an interdisciplinary program, meaning that physical, emotional and spiritual issues are addressed. Pharmacological interventions do not sooth the human spirit, nor with baclofen heal broken relationships. I can see, however, how this drug intervention, in theory, can save the lives of patients in the cases discussed in the study. I would caution against seeing to a pill as a "cure."

The anti-12 Step crowd will herald any drug intervention as being a distinct alternative to 12 Step, generally because 12 Step takes time and is far more difficult than taking a pill. Baclofen does not require honesty, openness and willingness, nor does it necessitate self-examination. Perhaps baclofen can stop the alcohol cravings, or be used as a tool to help a someone acquire operate of his/her life, and help bring about a return to health. I have no issue with this. But if the whole someone is not treated, then the hole in the spirit that is filled with alcohol, or some other destructive force, is still there.

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