FDA OKs New Alcoholism Treatment
Once-Monthly Injectable Drug, Called Vivitrol, to Launch in June
WebMD News Archive
How It Works
"We think that the medication works by binding to opioid receptors in the brain," Bohn says.
"We don't know exactly how opioid receptors are involved in alcohol dependence, but there's very good preclinical data that indicate that medications that bind to these receptors and block them reduce drinking and remove the incentive to drink," he explains.
About 18 million people in the U.S. are dependent upon alcohol or abuse alcohol, and more than 2 million of those people receive treatment each year, Bohn notes. He says Vivitrol offers "a new hope to a really significant number of them."
A once-per-month treatment could enhance compliance with medication, Bohn says, calling Vivitrol "a really significant advance to clinicians who are treating patients who want to stop their drinking."
Alkermes and Cephalon state that Vivitrol's active ingredient, naltrexone, may cause liver damage when given in excessive doses and that the drug shouldn't be taken by patients using opioid drugs or those in acute opioid withdrawal.
Vivitrol was "generally well tolerated" in clinical trials, the companies state, reporting mild to moderate side effects with the drug. In clinical trials, Vivitrol's most common side effects were nausea, vomiting, headache, dizziness, fatigue, and reactions at the injection site, according to the news release.
Participants who completed the Vivitrol study were allowed to keep taking Vivitrol (or switch to it, if they had previously taken the placebo); 85% accepted that offer, Bohn says.
"What this is says is that the acceptance rate for people who are on this medication is quite high," Bohn says. "Because there were relatively few side effects and the medication was well-tolerated, and because people liked coming in to get an injection, this type of treatment with Vivitrol offers a really exciting new opportunity, as far as I'm concerned."