Core IM | Internal Medicine Podcast #27 Treatment of Alcohol Use Disorder: 5 Pearls Segment
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Nov 7, 2018 Dive into the complexities of treating Alcohol Use Disorder (AUD). Discover when unhealthy drinking starts and effective screening methods. Learn about first and second-line medications, alongside their benefits and drawbacks. Explore innovative therapies on the horizon, including neuromodulation and psychedelics. The discussion emphasizes the need for tailored treatments and the SBIRT framework to enhance patient outcomes. Don't miss the insights on motivating interventions that can transform care!
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Screening for Alcohol Issues
- Unhealthy alcohol use screening is crucial, especially given specific alcohol-related problems.
- Consider alcohol issues if patients present with hypertension or GERD.
Screening Tools for Alcohol Use
- The AUDIT-C, a three-item questionnaire, effectively screens for unhealthy alcohol use.
- A single-item screener asking about exceeding drink limits helps further assessment.
SBIRT Intervention
- Incorporate SBIRT (Screening, Brief Intervention, and Referral to Treatment) for unhealthy alcohol use.
- SBIRT's effectiveness is comparable to colon cancer screening.