Stay Informed

Sign up for news & alerts

Already signed up?
Login here
What Can I Do?


Get Help
Need alcohol or drug help for yourself or someone else? GET HELP
Continuing Education
Free online courses for addiction counselors LEARN ONLINE
Resources
Resources
Find useful publications, online documents & more.


DrugScreening.org


 

Side Effects Imperil Addiction Drugs
April 24, 2008

Share Share Email
Email
Print
Print
SubscribeSubscribe
News Summary

Reports of increased risk of depression and suicide are dimming the future prospects of drugs designed to treat addictions to alcohol, tobacco and other drugs, the Associated Press reported April 22.

Development of anti-addiction drugs has gained increased attention from pharmaceutical companies in recent years, but problems associated with drugs like the antismoking medication Chantix -- a Pfizer drug linked to numerous suicide attempts -- has led to concerns that the drugs block feelings of pleasure as well as craving for drugs.

One possible solution would be to limit prescriptions of these drugs to patients who have no history of depression. The FDA says a link between Chantix and depression is "increasingly likely," but Pfizer officials and other experts say it's hard to determine a cause-and-effect relationship.

"Psychologically, just giving up this 'friend' that they've had many years in their life can be depressing," said Geoffrey Williams, co-director of the Greater Rochester Area Tobacco Cessation Center and a paid speaker for Pfizer. "The risk-benefit ratio is still very much on the side of use of the medication. The alternative, smoking, is extremely highly risky."

Still, the side effects have put a damper on hopes of developing "super pills" for addiction treatment. "It certainly diminishes my enthusiasm," said Mark Egli, co-director of medication development at the National Institute on Alcohol Abuse and Alcoholism.

COMMENTS ON THIS ARTICLE:

Posted by Scott Stamper, www.familiesinrecovery.org on 29 Apr 08 07:51 PM EDT
Doesn't research show that pretty much all mental health disorders are seriously under-diagnosed? And it recently came out that of the mental health disorders, addiction is the most diagnosed, leaving all others behind. If so, any screening for alcohol dependence would have to be accompanied by screening for co-occurring disorders such as depression. I've worked with physicians in the office setting before and while I can see them potentially developing the capacity to diagnose alcohol dependence, the office environment and standard physicians training do not seem to be the right setting for making DSM-IV diagnoses. I think the addiction drugs show a lot of promise, but we need to approach them fully aware of the limitations and risks.

Posted by Roget Lockard on 28 Apr 08 02:20 PM EDT
Since 1973, when I embarked on the remarkable adventure of sobriety for myself, at least once yearly I've run across stories on the development of medications that, it is hope, will solve the problem of addiction. In 1979 I began to work in the field of addictions treatment, and have noted that there are two broad uses of the word "addiction"; one referring to a physical plight, the other an existential - many would say spiritual - predicament. Of the two, the latter is the more intransigent, and the more profound, being rooted in human yearning. While these two versions of addiction often overlap and intertwine, they are fundamentally different situations. Because this distinction is not coherently or systematically made, we suffer as addicts, as professionals working with addicts, and as members of a culture that has increasingly come to be characterized and compromised by addiction in both manifestations. The search for a control-based solution to the problem of profound addiction, which is itself a misplaced faith in the ability of control to bring us the fulfillments for which we yearn, is quintessentially oxymoronic.

Posted by Alan Wartenberg MD on 28 Apr 08 01:53 PM EDT
As a general internist and addiction medicine specialist, I know that all drugs have side effects. Antidepressants may increase depression, especially early on and especially in young adults and adolescents. The new antipsychotic agents, while they have markedly fewer serious side effects than the older drugs, may increase the chance of diabetes or heart disease. Side effects come with the territory, and there is no reason to think anti-craving drugs would be any different. Careful, informed physicians prescribing judiciously to informed patients is the answer, determining the risk/benefit ratio in each patient for each drug.

Your Turn! Post a public comment (read guidelines):

Name:

Comment:
(limit 200
words)

Enter this word
(help):
Change

GUIDELINES: 
To keep this feature useful for all, please:

  1. Keep it clean, courteous, and on-topic. Comments are meant for thoughtful discussion of the article published above.

  2. Do not post promotional links to organizations, products or services, or personal requests for assistance (get help).

  3. Proof your comments carefully, use good spelling and punctuation, and don't use ALL CAPS. Comments are published immediately and cannot be edited.

Deceptive, slanderous and commercially-motivated posts are prohibited. We reserve the right to remove comments not conforming to these guidelines. (Report a comment).

Have questions or feedback? Contact us.