Darlene Petersen, MD and Paula Cook, MD

The Addiction Files

Darlene Petersen, MD and Paula Cook, MD

  • Novel Uses of Varenicline

Novel Uses of Varenicline

Tuesday 2nd April 2024

Can varenicline help with alcohol cravings? Dive into the latest research and clinical insights with Drs. Petersen and Cook.
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21 minutes
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About this podcast

The Addiction Files
Author:
Darlene Petersen, MD and Paula Cook, MD
Overview:
Categories:
Understanding Addiction & Recovery
Navigating Alcohol Dependency
Nutritional Pathways to Recovery
Navigating Intimate Relationships
Family Recovery from Addiction
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Episodes:
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Exploring New Uses for Varenicline in Addiction Treatment

Episode Overview

  • Varenicline may reduce alcohol cravings and heavy drinking days.
  • Its mechanism of action is similar to buprenorphine, targeting nicotinic receptors.
  • Recent studies show mixed results for its effectiveness in treating stimulant use disorders.
  • Common side effects include nausea and insomnia, but neuropsychiatric effects are less concerning than initially thought.
  • Combining varenicline with other treatments could be beneficial for patients with multiple addictions.
Varenicline is a nicotinic receptor partial agonist at the alpha-4 beta-2 receptor, similar to how buprenorphine works.
In this episode of The Addiction Files, Dr. Darlene Petersen and Dr. Paula Cook dive into the potential new uses of varenicline, a medication traditionally used to help people quit smoking. Have you ever wondered if a drug designed for nicotine addiction could help with alcohol cravings? This episode tackles that very question by examining the latest research and evidence. Dr. Petersen and Dr.
Cook discuss the mechanism of action of varenicline, explaining how it works on nicotinic receptors in the brain, similar to how buprenorphine works for opioid addiction. This sets the stage for a deeper look into its possible applications for other substance use disorders, particularly alcohol and stimulants like methamphetamine and cocaine. The hosts break down various studies, including a recent meta-analysis that found varenicline could reduce alcohol cravings and heavy drinking days.
They also touch on the mixed results from studies on its effectiveness for stimulant use disorders. The discussion is rich with clinical pearls and practical advice, making it a must-listen for healthcare professionals and anyone interested in addiction treatment. Throughout the episode, you'll hear about the pharmacokinetics of varenicline, its side effects, and why it might be a good choice for patients who struggle with both nicotine and alcohol addiction.
The hosts also address common concerns about neuropsychiatric effects, providing a balanced view based on the latest evidence. If you're looking for an evidence-based discussion that doesn't shy away from the complexities of addiction treatment, this episode offers valuable insights and practical advice. Don't miss out on learning how varenicline could be a game-changer in treating multiple addictions.