The Curbsiders Internal Medicine Podcast
#476 Medications for Alcohol Use Disorder 2.0 with Dr Stephen Holt
Mar 24, 2025
Dr. Stephen Holt, an Associate Professor at Yale, shares his expertise in addiction medicine. He delves into innovative treatments for alcohol use disorder, discussing lesser-known medications like disulfiram and topiramate. The importance of personalized care shines through, advocating for individual treatment goals that may include moderation. He explores the effectiveness of targeted naltrexone and emphasizes the role of compassionate relationships in recovery. Listeners gain insights into medication adherence and the significance of clear communication between doctors and patients.
01:01:49
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Quick takeaways
- Dr. Stephen Holt emphasizes the importance of personalized treatment strategies for alcohol use disorder, tailoring options based on each patient's unique goals.
- The episode advocates for a broader definition of success in recovery, highlighting that achieving safer drinking patterns can be as valid a goal as complete abstinence.
Deep dives
Introduction of Medications for Alcohol Use Disorder
The episode delves into the various medications available for treating alcohol use disorder, moving beyond common options like naltrexone and acamprosate. The discussion includes an array of alternatives such as disulfiram, topiramate, and gabapentin, which can be utilized based on patient needs. Dr. Stephen Holt, an expert in addiction medicine, emphasizes the importance of personalized treatment strategies that align with each patient's specific goals, whether that be abstinence or moderated consumption. The episode advocates for a comprehensive approach, acknowledging that the effectiveness of these medications can vary significantly among individuals.
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