Views & Reviews From the Frontline

Bad medicine: nalmefene in alcohol misuse

BMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1531 (Published 14 February 2014) Cite this as: BMJ 2014;348:g1531
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}yahoo.co.uk

Both Glasgow and medical school were hard drinking gigs. I enjoy alcohol and drink it for its psychoactive effect rather than for its taste or supposed health benefits. Indeed, for many years I have also struggled with smoking. Addiction is complex, with many facets, both physical and psychological, that are common to us all. I use routine, work, and responsibility to keep my own addictive tendencies in check. Today Glasgow remains a city blighted by addiction: drink, illicit and prescription drugs, gambling, and the rest. I may be a generalist, but I am also an expert on addiction.

Nalmefene (traded as Selincro, Lundbeck) has recently been approved …

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