Medications
The classical use of medications for alcoholism is to encourage abstinence. Antabuse (also known as disulfiram), for instance, prevents the elimination of chemicals which cause severe discomfort when alcohol is ingested, effectively preventing the alcoholic from drinking in significant amounts while they take the medicine. Heavy drinking while on antabuse can result in severe illness and death.
Naltrexone has also been used because it helps curb cravings for alcohol while the person is on it. Both of these, however, have been demonstrated to cause a rebound effect when the user stops taking them. These do allow a person to overcome psychological addictions to alcohol, but they do not treat the neurochemical addiction.
In more recent studies it has been demonstrated that the use of naltrexone while the alcoholic continues to drink can result in extinction of the neurochemical addiction. Referred to as the “Sinclair Method”, this technique is used with good results some US states and in Finland but has failed to penetrate much of the world because of the long-standing bias against any treatment that doesn’t involve detoxification...