There is a growing interest in the development of new pharmacological tools for treating alcohol withdrawal and dependence. A number of anticonvulsants including valproate and carbamazepine have been shown to be safe and effective alternatives to benzodiazepines for treating alcohol withdrawal. These agents are relatively safe, are free from demonstrated abuse liability, and do not usually potentiate the psychomotor and cognitive effects of alcohol. For the treatment of alcohol dependence, there is a growing literature on the utility of medications that have neurochemical effects at opioid, serotonergic, GABAergic, and glutamate receptors. Furthermore, as a class of medication, there appears to be a growing interest in investigating the utility of novel anticonvulsants such as topiramate for the treatment of alcohol dependence.

译文

人们对开发用于治疗酒精戒断和依赖的新药理学工具的兴趣日益浓厚。许多抗惊厥药 (包括丙戊酸盐和卡马西平) 已被证明是治疗酒精戒断的苯二氮卓类药物的安全有效替代品。这些药物相对安全,没有明显的滥用责任,通常不会增强酒精的精神运动和认知作用。对于酒精依赖的治疗,越来越多的文献报道了对阿片类药物,5-羟色胺能,gaba能和谷氨酸受体具有神经化学作用的药物的效用。此外,作为一类药物,人们似乎越来越有兴趣研究新型抗惊厥药 (例如托吡酯) 用于治疗酒精依赖。

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