Long-Term γ-Hydroxybutyric Acid (GHB) and Disulfiram Combination Therapy in GHB Treatment-Resistant Chronic Alcoholics
2011

Combining GHB and Disulfiram for Alcohol Treatment

Sample size: 52 publication 10 minutes Evidence: moderate

Author Information

Author(s): Maremmani Angelo Giovanni Icro, Pani Pier Paolo, Rovai Luca, Pacini Matteo, Dell’Osso Liliana

Primary Institution: Dual Diagnosis Unit, Santa Chiara University Hospital, Department of Psychiatry, NPB, University of Pisa, Italy

Hypothesis

Can combining disulfiram with GHB improve treatment outcomes for chronic alcoholics who do not respond to GHB alone?

Conclusion

The study suggests that the combination of GHB and disulfiram is more effective than GHB alone in treating chronic alcoholics.

Supporting Evidence

  • 34 patients (65.4%) successfully completed the treatment protocol.
  • Patients treated with the GHB-disulfiram combination stayed in treatment longer than those treated with GHB alone.
  • The combination treatment resulted in a higher percentage of days of complete abstinence from alcohol.

Takeaway

This study looked at how combining two medicines, GHB and disulfiram, can help people who have trouble stopping drinking alcohol. It found that using both together works better than just using one.

Methodology

The study compared treatment retention and days of abstinence from alcohol in patients treated with a combination of GHB and disulfiram versus GHB alone over six months.

Potential Biases

The lack of randomization and potential for self-selection bias may affect the results.

Limitations

The study did not include a separate control group and relied on patients acting as their own controls.

Participant Demographics

The sample consisted of 52 patients, mostly females (55.8%), with a mean age of 40 years, and many had psychiatric comorbidities.

Statistical Information

P-Value

p < 0.0001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.3390/ijerph8072816

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