Prazosin for Treatment of Patients With Alcohol Dependence (AD) and Post Traumatic Stress Disorder...
Alcohol DependenceStress Disorders1 morePrazosin is an alpha-1 adrenergic receptor antagonist that has been used successfully in the treatment of trauma nightmares and sleep disturbance in combat veterans with PTSD, and alcohol dependence. The objective of this study is to evaluate the efficacy of prazosin (16mg) versus placebo in reducing alcohol consumption and decreasing symptoms of PTSD in patients with comorbid AD and PTSD.
Levetiracetam XR in Very Heavy Drinkers
AlcoholismThe primary objectives of this study are to assess the efficacy of levetiracetam XR in increasing the percentage of subjects with no heavy drinking days and in reducing the weekly percentage of heavy drinking days in subjects with alcohol dependence confirmed by DSM-IV criteria and who frequently consume 10 or more drinks per drinking day for men and 8 or more drinks per drinking day for women (designated as "very heavy" drinkers).
Project Motion, A Study of Motivational Interviewing to Reduce Heavy or Problematic Drinking
Alcohol DependenceAlcohol AbuseThe purpose of this pilot study is to investigate the critical components of motivational interviewing (MI), a psychotherapeutic intervention, in reducing heavy or problematic drinking. The study will disaggregate MI into its component parts and test full MI compared to MI without its directive strategies. This study will test whether the directive elements of MI are critical or whether MI effects may be attributable solely to its Rogerian, non-directive components. For more information, go to www.projectmotion.org
Extended-release Naltrexone for Alcohol Dependence in Primary Care
Alcohol DependenceNaltrexone is an opioid antagonist with a high affinity for the mu opioid receptor. The efficacy of extended-release naltrexone (Vivitrol) as a treatment for alcohol dependence has been demonstrated in clinical trials, raising the prospect of integrating pharmacologic treatment for alcohol dependence into general medical care settings. However, the feasibility of implementing this United States Food and Drug Administration approved treatment in the front-line settings in which it is most needed has not been demonstrated. This is an open-label pilot feasibility study of implementing treatment with Vivitrol in primary care medical clinics in a safety net hospital system affiliated with an urban academic center.
Topiramate to Aid Smoking Cessation in Alcohol Dependent Men
Nicotine DependenceAlcohol DependenceThe purpose of this study is to determine whether topiramate is effective as an aid to smoking cessation for recovering alcohol dependent men.
Safety and Efficacy of Nalmefene in Patients With Alcohol Dependence
Alcohol DependenceThe purpose of the study is long-term safety, tolerability and efficacy of nalmefene in patients with alcohol dependence.
Efficacy of Nalmefene in Patients With Alcohol Dependence
Alcohol DependenceThe purpose of the study is to evaluate the efficacy, safety and tolerability of nalmefene in the treatment of alcohol dependence.
Phased Treatment for Social Anxiety Disorder and Coping Behaviors in a Medical Setting
Social Anxiety DisorderAlcohol Use DisordersThe purpose of this study is to treat individuals with social anxiety disorder with a Food and Drug Administration-approved medication for the treatment of social anxiety disorder, the antidepressant paroxetine, and to evaluate the impact of an intervention designed to help those individuals cope with anxiety without the use of common coping behaviors.
Reducing Alcohol Use & Post-traumatic Stress Disorder (PTSD) With Cognitive Restructuring & Experiential...
AlcoholismStress Disorders1 moreThe purpose of this study is to determine whether an experiential acceptance therapy intervention is effective in the treatment of alcohol dependency and post-traumatic stress disorder (PTSD) symptoms in individuals who suffer from PTSD.
Effect of Varenicline on Reactivity to Smoking and Drinking Cues
Tobacco DependenceAlcohol DependenceAlcohol and nicotine dependence are often co-morbid, with 85% of alcoholics also smoking. However, very little research has been conducted into the nature of this co-occurrence. Thus, the main aim of this study is to assess differences in alcohol and tobacco consumption and cue-induced craving in treatment-seeking smokers after two weeks treatment of varenicline. Hypotheses Two weeks of varenicline treatment will significantly decrease cue-induced tobacco craving compared to placebo (Due to the actions of varenicline on alpha-4-beta-2 receptors and its downstream effect on dopamine release). Varenicline will decrease cue-induced alcohol craving compared to placebo. The impact of Varenicline on cue-induced alcohol craving will be greater in heavy drinkers compared to social drinkers.