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2015 ; 61
(6
): 515-21
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Primary care management of alcohol use disorder and at-risk drinking: Part 2:
counsel, prescribe, connect
#MMPMID26071155
Spithoff S
; Kahan M
Can Fam Physician
2015[Jun]; 61
(6
): 515-21
PMID26071155
show ga
OBJECTIVE: To provide primary care physicians with evidence-based information and
advice on the management of at-risk drinking and alcohol use disorder (AUD).
SOURCES OF INFORMATION: We conducted a nonsystematic literature review using
search terms that included primary care; screening, interventions, management,
and treatment; and at-risk drinking, alcohol use disorders, alcohol dependence,
and alcohol abuse; as well as specific medical and counseling interventions of
relevance to primary care. MAIN MESSAGE: For their patients with at-risk drinking
and AUD, physicians should counsel and, when indicated (ie, in patients with
moderate or severe AUD), prescribe and connect. Counsel: Offer all patients with
at-risk drinking a brief counseling session and follow-up. Offer all patients
with AUD counseling sessions and ongoing (frequent and regular) follow-up.
Prescribe: Offer medications (disulfiram, naltrexone, acamprosate) to all
patients with moderate or severe AUD. Connect: Encourage patients with AUD to
attend counseling, day or residential treatment programs, and support groups. If
indicated, refer patients to an addiction medicine physician, concurrent mental
health and addiction services, or specialized trauma therapy. CONCLUSION: Family
physicians can effectively manage patients with at-risk drinking and AUD.