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Alcoholism is a pathological behavioural syndrome, characterised by
comp- sive alcohol use, craving and relapses, even recurring after
many years of abstinence. It is suggested that chronic alcohol
abuse leads to persistent changes within several neurochemical
pathways in the brain and furthermore that an imprinted drug and
addiction memory may scarcely be extinguished. Hence, the question
arises as to whether there ought to be a reasonable hope that
pharmacological drugs will be developed that interfere with an
addiction memory, and as a result, finally lead to a cure? In this
book, leading preclinical and clinical experts in the field of
alcohol relapse prevention strive to furnish an answer to this
question. None of the researchers or clinicians believes in a magic
bullet that will be of help to all alcoholic patients in overcoming
this disease. However, there is now convi- ing evidence
demonstrating that specific subpopulations of alcoholic patients
experience satisfactory benefit from currently available
treatments. Today we have two medications for relapse prevention on
the market - acamprosate and naltrexone. Although, currently, only
a minority of alcoholic patients benefit from these medications,
the approval of these compounds may be considered a hallmark in the
field of psychopharmacology, even comparable to the era when the
first antidepressant compounds were introduced. In recent years we
have been witnessing an enormous growth in the science and
knowledge regarding the field of relapse prevention.
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