Biobehavioural basis of pharmacologic treatment of alcohol dependence.

E M Sellers
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Abstract

In devising pharmacological treatments for alcohol dependence, attention has to be directed to drugs which manipulate the neurobiological basis of ethanol's reinforcing properties and which do so with an acceptable margin of safety. This paper will review four main issues; the meaning of "craving", the role of serotonin in the neuroregulation of ethanol consumption and the effect of serotonergic drugs on ethanol intake, the role of other neurotransmitter systems, and how pharmacological treatments can be combined with psychosocial approaches.

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酒精依赖药物治疗的生物行为学基础。
在设计酒精依赖的药理学治疗时,必须注意那些能操纵乙醇增强特性的神经生物学基础,并且在可接受的安全范围内这样做的药物。本文将回顾四个主要问题;“渴望”的含义,5 -羟色胺在乙醇消耗的神经调节中的作用,5 -羟色胺能药物对乙醇摄入的影响,其他神经递质系统的作用,以及如何将药物治疗与社会心理方法相结合。
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