Treating Alcoholism: New Hope with Semaglutide

Mohamed IBN ALKADI
2 min readOct 1, 2023

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Alcoholic beverages, socially accepted drinks around the world, are consumed legally by adults and, unfortunately, illegally by minors. They are often used for socializing, celebration, and relaxation.

Alcoholism in America

Shockingly, nearly 30 million Americans suffer from alcohol use disorder, and over 140,000 lose their lives to alcohol-related causes each year. Alcohol ranks as the fourth highest cause of preventable death in America.

A Multifaceted Approach

When I asked Elicit AI Research Assistant “how to treat alcoholism,” the answer emerged as a combination of approaches. According to research, effective treatment for alcoholism involves:

  1. Individualized Therapy: This includes medical advice, detoxification, and psychotherapeutic and pharmacological relapse prevention treatment.
  2. Ongoing Abstinence-Oriented Care: This involves detoxification, intensive early treatment, long-term support, and family therapy.
  3. Behavioral Approaches: Various behavioral therapies like cognitive-behavioral therapy, motivational enhancement therapy, and participation in Alcoholics Anonymous (AA) or similar 12-step programs.
  4. Pharmacotherapy: The use of medications, such as Disulfiram, Naltrexone, Topiramate, and Acamprosate, alongside psychotherapies for ongoing treatment.

FDA-Approved Medications

Recent research has highlighted that there are only three medications approved by the U.S. FDA to treat alcoholism: Disulfiram, Naltrexone, and Acamprosate. These medications work in different ways to help individuals manage their alcohol cravings.

Understanding Disulfiram

While Disulfiram has been used to deter alcohol consumption by causing unpleasant symptoms after drinking, the research papers provided limited information about its adverse drug reactions (ADRs).

Semaglutide: A Potential Game-Changer

Semaglutide, known as Ozempic and Wegovy, has gained popularity as a medication for weight loss and diabetes management. It’s now being explored as a potential treatment for alcoholism. Early reports suggest that Semaglutide may reduce alcohol cravings.

Clinical Trials and Hope

The National Institutes of Health and Oklahoma State University are conducting randomized clinical trials to determine the effectiveness of Semaglutide in treating alcoholism. If successful, this drug could be a game-changer for addiction treatment, similar to how Prozac revolutionized depression treatment.

A Prozac Moment for Addiction Medication

Before the FDA approved Prozac in 1987, depression drugs were reserved for severe cases due to side effects. Prozac changed that, making depression treatment more accessible. Semaglutide has the potential to do the same for alcohol addiction treatment, but more research is needed.

Conclusion

While Semaglutide holds promise, patients and practitioners should exercise caution and wait for the results of ongoing clinical trials. In the meantime, existing medications for alcoholism, though underutilized, can provide valuable help to those in need.

Resource: “Treating Alcoholism: A Prozac Moment?” — The Economist, September 16th, 2023

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