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Updated: Jul 18, 2026

Chronic Intermittent Ethanol Vapor Exposure Paired with Two-Bottle Choice to Model Alcohol Use Disorder
Published on: June 23, 2023
[Summary of the practice guideline 'Problematic alcohol consumption' (second revision) from the Dutch College of
L J Boomsma1, Tj Wiersma, G J Meerkerk
1Nederlands Huisartsen Genootschap, Postbus 3231, 3502 GE Utrecht. l.boomsma@nhg-nl.org
Abstract:
Compared with the former guideline, more attention is paid to the attitude of the general practitioner towards problem drinkers (about 200 problem drinkers in a standard practice of 2350 patients) and the combined use of alcohol and drugs among young people. The five-shot questionnaire has replaced the earlier 'cutdown, annoyed, guilty, eye-opener' (CAGE) test. Laboratory tests are of little value in the diagnosis. The general practitioner is given tools with which to motivate problem drinkers to change their behaviour. Medication is of minor importance.
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