Barriers to the Use of Medications to Treat Alcoholism

In 1994, naltrexone became the first medication approved by the Food and Drug Administration as an adjunct in alcoholism treatment in almost fifty years. Despite evidence of its efficacy, use of naltrexone is not widespread. Patient and physician focus groups were used to identify reasons naltrexone...

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Veröffentlicht in:The American journal on addictions 2003-07, Vol.12 (4), p.281-294
Hauptverfasser: Mark, Tami L., Kranzler, Henry R., Poole, Virginia H., Hagen, Carol A., McLeod, Caroline, Crosse, Scott
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container_end_page 294
container_issue 4
container_start_page 281
container_title The American journal on addictions
container_volume 12
creator Mark, Tami L.
Kranzler, Henry R.
Poole, Virginia H.
Hagen, Carol A.
McLeod, Caroline
Crosse, Scott
description In 1994, naltrexone became the first medication approved by the Food and Drug Administration as an adjunct in alcoholism treatment in almost fifty years. Despite evidence of its efficacy, use of naltrexone is not widespread. Patient and physician focus groups were used to identify reasons naltrexone has not been prescribed more widely. Barriers to its widespread use include a lack of awareness, a lack of evidence of efficacy in practice, side effects, time for patient management, a reluctance to take medications, medication addiction concerns, Alcoholics Anonymous (AA) philosophy, and price. The study indicates that medications to treat alcoholism must overcome numerous barriers before becoming widely accepted. (Am J Addict 2003;12:281-294)
doi_str_mv 10.1080/10550490390226879
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subjects Alcoholism - economics
Alcoholism - rehabilitation
Attitude of Health Personnel
Cost-Benefit Analysis
Drug Approval
Focus Groups
Humans
Naltrexone - adverse effects
Naltrexone - economics
Naltrexone - therapeutic use
Narcotic Antagonists - adverse effects
Narcotic Antagonists - economics
Narcotic Antagonists - therapeutic use
Patient Acceptance of Health Care
Treatment Outcome
United States
title Barriers to the Use of Medications to Treat Alcoholism
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