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Alcohol misuse and dependence. Assessment and management
Noeline Latt1, John B Saunders
1Herbert Street Drug and Alcohol Clinic, Royal North Shore Hospital. nlatt@mail.usyd.edu.au
Background:
General practitioners play a vital role in the prevention of alcohol related morbidity and mortality. The earlier an alcohol problem is diagnosed, the better the treatment outcome.
Objective:
This article aims to provide GPs with practical guidelines on the assessment and management of patients with hazardous alcohol use and dependence.
Discussion:
There is good evidence that early and brief intervention by a GP is most effective in reducing alcohol consumption in patients with hazardous or harmful drinking. In patients with alcohol dependence, pharmacotherapies such as naltrexone and acamprosate, in conjunction with a comprehensive rehabilitation program, are beneficial in a proportion of patients.
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