Alcohol Abuse and Dependence

Sep 01, 2021 Issue
Alcohol Withdrawal Syndrome: Outpatient Management [Article]

Approximately one-half of patients with alcohol use disorder who abruptly stop or reduce their alcohol use will develop signs or symptoms of alcohol withdrawal syndrome. The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, nausea and vomitin...

Mar 1, 2021 Issue
Alcoholics Anonymous and Other 12-Step Facilitation Programs for Alcohol Use Disorder [Cochrane for Clinicians]

Manualized (standardized and replicable) Alcoholics Anonymous and similar 12-step facilitation programs produce higher rates of continuous abstinence than other established treatments.

Oct 1, 2020 Issue
Alcohol Use Disorder: Pharmacologic Treatment Options [FPIN's Clinical Inquiries]

Acamprosate and naltrexone should be used as first-line agents for treatment of alcohol use disorder and are effective for reducing relapse rates. Agent selection should be based on comorbid conditions and adherence to the dosing regimen.

Jun 15, 2019 Issue
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: Recommendations Statement [U.S. Preventive Services Task Force]

The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

Jun 15, 2019 Issue
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults [Putting Prevention into Practice]

A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful sometimes.

Jun 15, 2019 Issue
Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings [Editorials]

We have identified the ways in which family physicians can implement the USPSTF screening recommendation for unhealthy alcohol use and then intervene when a patient has a positive screen.

Dec 1, 2017 Issue
Screening Tools for Unhealthy Alcohol Use [FPIN's Help Desk Answers]

A single-question alcohol use screen and the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) can be used to detect unhealthy alcohol use and alcohol use disorder. Their performance is similar between sexes and across races.

Jul 15, 2016 Issue
Pharmacotherapy for Adults with Alcohol Use Disorder [Implementing AHRQ Effective Health Care Reviews]

What are the potential benefits and adverse effects of medications used to treat alcohol use disorder (AUD) in adult outpatients?

Mar 15, 2016 Issue
Medications for Alcohol Use Disorder [Article]

Although excessive alcohol use is the third leading cause of preventable death in the United States, many patients do not receive treatment. Three medications are approved for treating alcohol use disorder, and several other medications may also be helpful for off-label use.

Jun 15, 2014 Issue
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse [Putting Prevention into Practice]

A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he “goes out drinking” every weekend with his friends.

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