Table 2Medications that are FDA approved for treating adults with alcohol-use disorders

Generic Drug NameMechanismDosing
AcamprosateThought to modulate hyperactive glutamatergic NMDA receptorsOral: 666 mg 3 times per day
DisulfiramInhibits ALDH2, causing accumulation of acetaldehyde during alcohol consumption, which produces a variety of adverse effects such as nausea, dizziness, flushing, and changes in heart rate and blood pressureOral: 250 to 500 mg per day
NaltrexoneOpioid antagonist; competitively binds to opioid receptors and blocks the effects of endogenous opioids such as β-endorphinOral: 50 to 100 mg per day Intramuscular injection: 380 mg per month

ALDH2 = aldehyde dehydrogenase; FDA = U.S. Food and Drug Administration; mg = milligram; NMDA = N-methyl-D-aspartate.

From: Introduction

Cover of Pharmacotherapy for Adults With Alcohol-Use Disorders in Outpatient Settings
Pharmacotherapy for Adults With Alcohol-Use Disorders in Outpatient Settings [Internet].
Comparative Effectiveness Reviews, No. 134.
Jonas DE, Amick HR, Feltner C, et al.

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