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Little-known prescription pill is helping Americans drink less alcohol

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Little-known prescription pill is helping Americans drink less alcohol

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Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.

In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.

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How it works

Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)

“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.

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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”

Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder. 

“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”

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The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added. 

“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”

Side effects

Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

These effects are generally mild and may improve as the body adjusts to the medication.

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)

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In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.

“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.

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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.

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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.

“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.

More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)

“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”

Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.

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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.

Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.

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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.

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They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.

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Wellness expert reveals surprising health benefits of daily cold exposure: ‘Huge difference’

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Wellness expert reveals surprising health benefits of daily cold exposure: ‘Huge difference’

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Interview of the week

Wim Hof breaks down his three-pillar method for more energy, less stress

Top stories

→ First case of severe mpox disease reported in major city

→ Deadly meningitis outbreak prompts college students to call for campus shutdown

→ Mom with no symptoms had colorectal cancer — and a rare surgery saved her life

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A Los Angeles mother said her jarring symptoms were dismissed by doctors for years, chalked up to a side effect of childbirth, but they turned out to be signals of colorectal cancer. (Amy Piccioli)

Rises and falls

→ Cigarette smoking plummets to historic single-digit low in U.S.

→ Male fertility rates decline as experts reveal health threats

→ Surges in adult ADHD stimulant prescriptions have doctors concerned

Conversation starters

→ Canadian patients left waiting 15+ hours in emergency room

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→ The real reason for sagging jowls, and what will and won’t help

→ Study reveals surprising results after stopping GLP-1 weight-loss drugs

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Needle-free diabetes management could be on the horizon, study suggests

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Needle-free diabetes management could be on the horizon, study suggests

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Oral insulin could one day replace injections for people with diabetes, new scientific discoveries suggest.

Researchers from Kumamoto University in Japan have announced the development of an insulin pill to help lower blood sugar.

For diabetics, insulin is typically administered via injection, but the pill would offer a non-invasive treatment option.

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“Insulin injections remain a daily burden for many patients,” said associate professor Shingo Ito, a researcher in the study’s press release. “Our peptide-based platform offers a new route to deliver insulin orally, and may be applicable to long-acting insulin formulations and other injectable biologics.”

Oral insulin could one day replace injections for people with diabetes, new scientific discoveries suggest. (iStock)

The study, published in the journal Molecular Pharmaceutics, tested the delivery of oral insulin by building a carrier peptide called DNP-V. This peptide helps to transport insulin through the small intestine, where protein drug absorption is usually poor.

In diabetic mice models, the researchers administered the peptide by mouth with zinc-stabilized insulin, which was formulated with zinc ions to make it more stable, according to the study.

“Insulin injections remain a daily burden for many patients.”

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The result was a rapid and significant drop in blood glucose, as well as a sustained (longer-term) decrease. The mice’s blood sugar was reduced to near-normal levels.

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When DNP-V was attached directly to insulin, the results showed enhanced absorption in the intestines and a similar glucose-lowering effect, the researchers noted.

The treatment was effective in different diabetes models, significantly reducing blood sugar spikes after meals with just one dose per day.

The study was done in mice, which leaves uncertainty if the treatment will translate to humans. (iStock)

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The findings suggest that DNP peptides could serve as flexible, adaptable platforms for delivering large-molecule drugs by mouth, the authors concluded in the study abstract.

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“This technology can simply and effectively convert injectable biopharmaceuticals into orally administrable forms, offering a promising path to practical, patient-friendly oral therapies,” they wrote.

Although the researchers are optimistic about the findings translating to larger therapeutic models, they noted that the results in mice do not guarantee the same outcome in humans, and that more research is needed.

For diabetics, insulin is typically administered via injection to regulate blood sugar levels. (iStock)

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Dr. Marc Siegel commented on this development, noting that oral insulin could make a big difference in healthcare.

“Insulin use, especially in type 1 diabetes, is sometimes difficult to regulate by injection,” Siegel, who was not involved in the study, told Fox News Digital. “Oral use would have major advantages.”

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He added, “This is very promising provided that it works in humans, which is a big ‘if.’”

Fox News Digital reached out to the study authors for comment.

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Deadly meningitis outbreak prompts college students to call for campus shutdown

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Deadly meningitis outbreak prompts college students to call for campus shutdown

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Students at the University of Kent in the U.K. are calling for a shutdown in light of an active meningitis outbreak.

The demands follow multiple alerts from the UK Health Security Agency (UKHSA) about the outbreak.

As of March 18, the agency had announced a total of 15 confirmed cases of meningococcal disease, 12 additional potential cases and two deaths in Kent, a county in the southeast of England. The University of Kent is located in Canterbury, a historic city within Kent.

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Meningococcal disease is a serious bacterial infection caused by Neisseria meningitidis, according to the Centers for Disease Control and Prevention. 

It can cause two life-threatening conditions: meningitis (infection of the brain and spinal cord lining) and a bloodstream infection called septicemia, which can lead to sepsis, per the above source.

Two people have died amid an outbreak of meningitis at the University of Kent in Canterbury.  (Carl Court/Getty Images)

Even with prompt treatment, meningococcal disease can become fatal within hours. Health agencies report a typical fatality rate of about 10% to 15%.

In response to the outbreak, students at the University of Kent launched an online petition calling for campus to be closed.

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MEASLES OUTBREAK REACHES A MAJOR SOUTH CAROLINA COLLEGE CAMPUS

“Students at the University of Kent are increasingly concerned about reports of meningitis and sepsis cases affecting members of the campus community,” the petition states, as posted on Change.org. “The confirmation of two deaths, along with reports of hospitalizations, has caused understandable concern among students and staff.”

The petition expressed concern that in-person exams, lectures and other campus activities are continuing amid the outbreak.

As of March 18, health officials had announced a total of 15 confirmed cases of meningococcal disease, 12 additional potential cases and two deaths in Kent, a county in the southeast of England. (Carl Court/Getty Images)

“Many students feel that they are being placed in a difficult position: attend exams and in-person activities during a period of heightened concern or prioritize their health and well-being while risking potential academic consequences,” the petition states. “Students should not feel forced to choose between protecting their well-being and continuing their education.”

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“Students deserve to feel safe on campus,” the petition concluded. “We are therefore calling on the University of Kent to consider precautionary steps to prioritize the well-being of students and staff during this situation.

MEASLES OUTBREAK EXPLODES IN SOUTH CAROLINA, MULTIPLE HOSPITALIZED AS CASES SURPASS 200

Preventative antibiotic treatment is being distributed to University of Kent students, according to UKHSA, as well as to those who visited Club Chemistry, a nightclub in Canterbury, between March 5 and March 7.

“A vaccination program has started for students and staff who live in or work in the halls at the University of Kent Canterbury Campus — approximately 5,000 students,” the agency noted.

Fox News Digital reached out to the university requesting comment.

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Symptoms of meningococcal disease

Described by the CDC as a “rare but severe illness,” meningococcal disease most commonly causes symptoms of meningitis, including fever, stiff neck, headache, nausea, vomiting, sensitivity to light or altered mental status.

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It can also cause meningococcal bloodstream infection, which is marked by fever and chills, vomiting, fatigue, vomiting, cold hands and feet, severe aches and pains, diarrhea, rapid breathing or a dark purple rash, the CDC notes. 

Transmission and treatment

Meningitis infections can spread through close contact with someone who has meningococcal disease, “generally, through things like coughing or kissing, but it can also spread by being in the same household or room for extended periods of time with an individual who is infected,” Dr. Barbara Bawer, a primary care physician at The Ohio State University Wexner Medical Center, previously told Fox News Digital.

The UK Health Security Agency (UKHSA) is contacting 30,000 students and staff of the university to notify them of the outbreak. (Carl Court/Getty Images)

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Those who have symptoms of the disease should see their primary care physician immediately, according to the doctor.

As symptoms tend to progress quickly and can be life-threatening, it is essential that the patient receives antibiotics immediately.

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“It can become fatal or dangerous very quickly — within hours — for any individual, especially if antibiotics are not initiated in a timely manner,” Bawer warned. “Even with antibiotics, meningitis can be fatal.”

She added, “This is often due to misdiagnosis, because meningitis can mimic many other illnesses.”

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Infection prevention

Most cases of meningococcal disease worldwide are caused by six variations of the Neisseria meningitidis bacteria — A, B, C, W, X and Y.

In the U.S., the most common variations are B, C, W and Y. There are vaccines available to protect against types A, C, W and Y (the MenACWY vaccine) and type B (MenB vaccine), according to the CDC.

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“MenACWY vaccines are routinely recommended for adolescents and for people with other risk factors or underlying medical conditions, including HIV,” the agency previously stated.

“Students should not feel forced to choose between protecting their well-being and continuing their education.”

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To reduce risk, Bawer recommends that people get vaccinated with the current meningitis vaccine as recommended by the CDC and avoid being in very closed-in spaces with others as much as possible.

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“If you know of someone who has meningitis in your household or you’ve come in contact with their oral secretions (i.e., you kissed them), then you should get preventative antibiotics,” the doctor told Fox News Digital. 

This is even more important for those who are immune-compromised or who are on medications that decrease the immune system, Bawer added.

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