December 17, 2022 at 10:04 pm

Alcoholics May Find New Hope With Spironolactone Treatment That Helps Reduce Drinking

by Trisha Leigh

There’s not much harder than watching someone you love fall into an addiction that’s set to ruin their health and happiness, and I would imagine that being on the other side of that coin is no picnic, either.

Now, science could have a real treatment for alcoholism that could save thousands of lives.

The medication being analyzed, spironolactone, is primarily prescribed for heart problems but has been found to reduce drinking in multiple species.

iStock 911840302 Alcoholics May Find New Hope With Spironolactone Treatment That Helps Reduce Drinking

Image Credit: iStock

This is one reason scientists were inspired to study it as a treatment for alcoholism, and another is the role of a hormone called aldosterone, which is heightened in people who abuse alcohol.

It’s also been associated with anxiety, obsessive cravings, and alcohol withdrawal.

Scientists are still trying to decide why that is, but it seems to enhance mineralocorticoid receptor signaling, affecting the body’s ability to regulate fluid and electrolyte levels.

Spironolactone blocks those receptors, which counteracts the effects of aldosterone and treats fluid-buildup that’s often seen following heart failure.

Researchers administered spironolactone to alcohol-dependent mice and rats, which drank less the more of the drug they received.

 Alcoholics May Find New Hope With Spironolactone Treatment That Helps Reduce Drinking

Image Credit: Nature.com

It was also seen to curb binge drinking in mice, all while not decreasing their water or food intake.

As far as humans, researchers went looking for drinkers who were prescribed spironolactone for at least 60 days, and the results of over 10,000 individuals was “highly encouraging.”

They found that, on average, alcohol intake decreased by an extra 0.17 points among those who took the medication, with the higher doses leader to bigger decreases.

Those who were reportedly heavy or hazardous drinkers at the outset also saw the biggest reductions, with an average decrease of 0.47 points after treatment.

 Alcoholics May Find New Hope With Spironolactone Treatment That Helps Reduce Drinking

Image Credit: Nature.com

Author Lorenzo Leggio said in a statement that they believe this could potentially have huge consequences.

“Combining findings across three species and different types of research studies, and then seeing similarities in those data, gives us confidence that we are onto something potentially important scientifically and clinically. These findings support further study of spironolactone as a potential treatment for alcohol use disorder, a medical condition that affects millions.”

This is definitely one of those studies where it’s obvious how the results could affect people who are hurting.

I hope to hear more about this soon!

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