Venlafaxine extended release and alcohol dependence

Authors

  • David Cáceres Anillo Director Médico. Unidad de desintoxicación Hogar Renacer de Córdoba. Enviar correspondencia a: David Cáceres Anillo. Unidad de desintoxicación Hogar Renacer de Córdoba, C/ Juan Felipe de Vilela nº18. Córdoba.
  • Ana Rodriguez Yuste Psicóloga. Unidad de desintoxicación Hogar Renacer de Córdoba.
  • Carlos Morillo Velarde Psiquiatra. Unidad de desintoxicación Hogar Renacer de Córdoba.
  • Mª Victoria Cabrera Gisbert Médico. Unidad de desintoxicación Hogar Renacer de Córdoba.

DOI:

https://doi.org/10.20882/adicciones.311

Keywords:

Alcohol dependence, venlafaxine extended release, observational desintoxication

Abstract

Objectives: The aim is to determine the effect of the treatment with venlafaxine extended release in patients with alcohol or cocaine dependence disorder that initiate detoxification treatment. Methods: Observational, open, prospective study carried out in Spain in 2005. 55 patients older than 18 years of age with diagnosis of alcohol and/or cocaine dependence disorder, hospitalized in Specialty Care Center to initiate detoxification treatment, were included. Daily doses of 75 to 225 mg of venlafaxine extended release were administered for 6 months. Results: Treatment was associated with significant reductions in EuropASI scores in the following areas: 3, alcohol use, baseline and final score of 8.2±0.2 and 6.4±0.4, respectively (P < 0.01); 5, family/social relations, initial score of 6.9±0.2 and of 5.2±0.5 at endpoint (P < 0.001); 1, medical status, scores of 3.7±0.4 and 0.9±0.3 (baseline and final visits, respectively) (P < 0.001); and 6, psychiatric status, with a baseline score of 7.8±0.1 and final score of 5.4±0.4 (P < 0.001). The VAS alcohol craving scores at baseline were 26.7±4.6, decreasing to 4.1±1.5 at endpoint (P < 0.001). Conclusions: The results of this observational study suggest that venlafaxine extended release could be effective as a coadyuvant in the treatment of alcohol dependent patients in alcohol detoxification therapy. Nevertheless, this should be confirmed with bigger placebo-controlled samples.

References

Mason BJ, Kocsis JH, Ritvo EC, Cutler RB: A doubleblind, placebo-controlled trial of desipramine for primary alcohol dependence stratified on the presence or absence of major depression. JAMA 1996; 275: 761-7.

Holder HD, Wallack L. Contemporary perspectives for preventing alcohol problems: an empirically-derived model. J Public Health Policy 1986; 7: 324-39.

Fuller MG. A new day: strategies for managing psychiatric and substance abuse benefits. Health Care Manage Rev 1994; 19: 20-4.

Thase ME. Efficacy and tolerability of one daily venlafaxine extended release in outpatients with major deppression. J Clin Psychiatry 1997; 58: 393-398.

Lecrubier Y, Bourin M, Moon CA, Schifano F, Blanchard C, Danjou P, et al. Efficacy of venlafaxine in depressive illness in general practise. Acta Psychiatr Scand 1997; 95: 458-463.

Rickels K, Pollack MH, Sheehan DV, Haskins JT. Efficacy of extended‑release venlafaxine in nondepressed outpatients with generalized anxiety disorder. Am J Psychiatry 2000; 157: 969‑974.

Allgulander C, Hackett D, Salinas E. Venlafaxine extended release (ER) in the treatment of generalised anxiety disorder. Br J Psychiatr 2001; 179: 15‑22.

Silverstone PH, Salinas E. Efficacy of venlafaxine extended release in patients with major depressive disorder and comorbid generalized anxiety disorder. J Clin Psychiatry 2001; 62: 523-529.

Rudolph, RL. A meta anlysis of the effects of venlafaxine on anxiety associated with depression. J. Clin Psychol 1998; 18: 136-144.

Khan A, Upton GV, Rudolph RL, Entsuah R, Leventer SM. The use of venlafaxine in the treatment of major depression and major depression associated with anxiety: a dose response study. J Clin Psychopharmacology 1998; 18: 18-25.

Silverstone PH and Ravindran A, for the venlafaxine XR 360 Study group. Once daily venlafaxine extended release (XR) compared with fluoxetine in outpatients with depression and anxiety. J Clinic Psychiatry 1999; 60: 1.

McDowell DM, Levin FR, Seracini AM, Nunes EV. Venlafaxine treatment of cocaine abusers with depressive disorders. Am J Drug Alcohol Abuse 2000; 26: 25-31.

Upadhyaya HP, Brady KT, Sethuraman G, Sonne SC, Malcolm R. Venlafaxine treatment of patients with comorbid alcohol/cocaine abuse and attention-deficit/hyperactivity disorder: a pilot study. J Clin Psychopharmacol 2001; 21: 116-8.

Bobes J, Saiz PA, Bousoño M. Venlafaxine in the treatment of depression in alcoholic patients. 21st Congress of the Collegium Internationale Neuro-Psychophamacologium. 1997(Abstract PW 16008).

Garcia Portilla MP, Bascarán MT, Saiz PA, Mateos M, Gonzalez-Quirós M, Perez P, et al. Efectividad de la venlafaxina en el tratamiento de la dependencia de alcohol con depresión comórbida. Actas Esp Psiquiatr 2005; 33: 41-5.

Foltin RW, Ward AS, Collins ED, Haney M, Hart CL, Fischman MW. The effects of venlafaxine on the subjective, reinforcing, and cardiovascular effects of cocaine in opioid-dependent and non-opioid-dependent humans. Exp Clin Psychopharmacol 2003; 11: 123-30.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington DC: American Psychiatric Association. 1994.

Kokkevi A, Hartgers C. European adaptacion of a multidimensional assessment instrument for drug and alcohol dependence. Eur Addict Res 1995; 1: 208-210.

Garcia-Portilla, MP, Saiz Martinez PA, Bousoño Garcia M, Bobes Garcia J. Evaluación de la gravedad de la conducta alcohólica. Psiquiatría Biológica. 1998; 5: 40-43.

DeLoach LJ, Higgins MS, Caplan AB, Stiff JL. The visual analog scale in the immediate postoperative period: intrasubject variability and correlation with a numeric scale. Anesth Analg 1998; 86: 102-6.

Bodian CA, Freedman G, Hossian S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology 2001; 95: 1356-61.

Bech P. Rating scales for psychopathology, Health status, and quality of life. Berlin: Springer-Verlag,1993: 333: 35.

Hamilton M. Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 1967; 6: 278-296.

Ramos Brieva JA, Cordero Villafáfila A. A new validation of the Hamilton Rating scale for depression. J Psychistric Research 1988; 22: 21-28.

Hedlun JL, Vieweg BW. The Hamilton rating scale for depression: A comprehensive review. J Operat Psychiatry 1979; 10: 149-165.

Petrakis IL, Leslie D, Rosenheck R. The use of antidepressants

in alcohol-dependent veterans. J Clin Psychiatry 2003; 64: 865-870.

Litte RZ, Allen JP. Phatmacotherapies for alcoholism: promising agents and clinical sigues. Alcohol Clin Exp Res 1991; 15: 620-633.

Pettinati HM, Volpicelli JR, Luck G, Kranzler HR, Rukstalis MR, Cnaan A. Double-blind clinical trial of sertraline treatment for alcohol dependence. J Clin Psychopharmacol 2001; 21: 143-153.

Kranzler HR, Burleson JA, Korner P, Del Boca FK, Bohn MJ, Brrown J. Placebo-controlled trial of fluoxetine as an adjunct to relapse prevention in alcoholics. Am J Psychiatry 1995; 152: 391-397.

Ciraulo DA, Jaffe JH. Tryciclic antidepressants in the treatment of depression associated with alcoholism. J Clin Psychopharmacol 1981; 1: 146-150.

Blythe D, Hackett LP. Cardiovascular and neurological toxicity of venlafaxine. Hum Exp Toxicol 1999; 18: 309-13

Published

2007-06-01

Issue

Section

Originals