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A Randomized, Double-Blind, Placebo-Controlled Pilot Study of Naltrexone in Outpatients With Bipolar Disorder and Alcohol Dependence
Alcoholism, 08/13/09
Brown ES et al. – Results suggest the potential value and acceptable tolerability of naltrexone for alcohol dependence in bipolar disorder patients. A larger trial is needed to establish efficacy.
Methods- Fifty adult outpatients with bipolar I or II disorders and current alcohol dependence with active alcohol use were randomized to 12 weeks of naltrexone (50 mg/d) add–on therapy or placebo.
- Both groups received manual–driven cognitive behavioral therapy designed for patients with bipolar disorder and substance–use disorders.
- Drinking days and heavy drinking days, alcohol craving, liver enzymes, and manic and depressed mood symptoms were assessed.
- The 2 groups were similar in baseline and demographic characteristics.
- Naltrexone showed trends (p < 0.10) toward a greater decrease in drinking days (binary outcome), alcohol craving, and some liver enzyme levels than placebo.
- Side effects were similar in the 2 groups. Response to naltrexone was significantly related to medication adherence.
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