“…One such antagonist, naltrexone, has been shown in numerous single center and multicenter placebo‐controlled clinical trials to improve treatment outcomes for alcoholics by decreasing relapse (Anton et al., 1999; Guardia et al., 2002; Heinala et al., 2001; Latt, Jurd, Houseman, & Wutzke, 2002; Oslin, Liberto, O'Brien, Krois, & Norbeck, 1997; Volpicelli, Alterman, Hayashida, & O'Brien, 1992), craving (Chick et al., 2000; Heinala et al., 2001; Volpicelli et al., 1992), days of drinking (Monti et al., 2001; O'Malley et al., 1992; Volpicelli et al., 1992) and number of drinks if the patient drank during treatment (Anton et al., 1999; Chick et al., 2000; Monti et al., 2001). Consistent with these clinical findings, there have also been reports from preclinical studies in laboratory animals that describe naltrexone‐induced decreases in ethanol intake (Froehlich, Harts, Lumeng, & Li, 1987, 1990; Hubbell et al., 1986; Myers & Lankford, 1996; Parkes & Sinclair, 2000; Phillips, Wenger, & Dorow, 1997; Reid & Hunter, 1984), ethanol self‐administration (Heyser, Roberts, Schulteis, & Koob, 1999; Samson & Doyle, 1985; Sinden, Marfaing‐Jallat, & Le Magnen, 1983; Williams, Kane, & Woods, 2001), and the expression of ethanol‐induced conditioned place preference (Bechtholt & Cunningham, 2005; Cunningham, Henderson, & Bormann, 1998; Kuzmin, Sandin, Terenius, & Ogren, 2003; Middaugh & Bandy, 2000). Nevertheless, naltrexone is not always effective in humans (Gastpar et al., 2002; Kranzler, Modesto‐Lowe, & Van Kirk, 2000; Krystal, Cramer, Krol, Kirk, & Rosenheck, 2001).…”