Bad medicine: nalmefene in alcohol misuseBMJ 2014; 348 doi: https://doi.org/10.1136/bmj.g1531 (Published 14 February 2014) Cite this as: BMJ 2014;348:g1531
- Des Spence, general practitioner, Glasgow
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 …