**Core Concept**
Anti-craving agents for alcohol dependence are medications that reduce the urge to drink alcohol, thereby helping to prevent relapse in individuals with a history of alcohol use disorder. These medications primarily work by modulating neurotransmitter systems involved in reward and motivation.
**Why the Correct Answer is Right**
The primary mechanism of action of anti-craving agents involves the modulation of the gamma-aminobutyric acid (GABA) system, the glutamatergic system, and the endogenous opioid system. Naltrexone, for example, is an opioid receptor antagonist that reduces the rewarding effects of alcohol by blocking the action of endogenous opioids. Other agents like acamprosate and topiramate may also modulate the GABA-glutamate system to reduce craving.
**Why Each Wrong Option is Incorrect**
**Option A:** Disulfiram is not an anti-craving agent; it is a deterrent medication that produces an unpleasant reaction when alcohol is consumed, thereby discouraging drinking.
**Option B:** Naltrexone is indeed an anti-craving agent, making this option incorrect.
**Option C:** Acamprosate is also an anti-craving agent, so this option is incorrect.
**Clinical Pearl / High-Yield Fact**
It's essential to note that anti-craving agents are most effective when used in conjunction with behavioral therapies and counseling, as they can help individuals with alcohol use disorder manage their cravings and maintain abstinence.
**Correct Answer: A. Disulfiram is not an anti-craving agent; it is a deterrent medication that produces an unpleasant reaction when alcohol is consumed, thereby discouraging drinking.**
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.