Acamprosate (Campral) for Treatment of Alcoholism - STEPS - American Family Physician
Aug 15, 2006 - Acamprosate is a safe and well-tolerated treatment for patients with alcoholism and it appears to improve the likelihood that patients will remain abstinent. Most evidence suggests it is as effective as naltrexone but with fewer adverse reactions, and that it may be more effective when ...
American Family Physician : STEPS
https://www.aafp.org/afp/2006/0815/p645.html
Acute Pancreatitis - American Family Physician
Nov 1, 2014 - Acute pancreatitis is most commonly caused by gallstones or chronic alcohol use, and accounts for more than 200,000 hospital admissions annually. Using the Atlanta criteria, acute pancreatitis is diagnosed when a patient presents with two of three findings, including abdominal pain ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1101/p632.html
Acute Pancreatitis: Diagnosis, Prognosis, and Treatment - American Family Physician
May 15, 2007 - Mild acute pancreatitis has a low mortality rate, but patients with severe acute pancreatitis are more likely to develop complications and have a much higher death rate. Although serum amylase and lipase levels remain the most widely used diagnostic assays for acute pancreatitis, other ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0515/p1513.html
After Detoxification: Levels of Treatment for Alcohol Dependence - Editorials - ...
Nov 1, 2013 - Detoxification is just the tip of the iceberg, and the postdischarge treatment program is key in determining whether patients will abstain from alcohol.
American Family Physician : Editorials
https://www.aafp.org/afp/2013/1101/p576.html
Alcohol Misuse - Clinical Evidence Handbook - American Family Physician
Apr 15, 2009 - What are the effects of interventions in hazardous or harmful drinkers in the primary care and emergency department settings?
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2009/0415/p692.html

Alcohol Use Disorders - American Family Physician
Jun 15, 2019 - This collection features AFP content on alcohol abuse and dependence and related issues, including alcoholism, alcohol withdrawal syndrome, and detoxification. This collection features AFP content on alcohol abuse and dependence and related issues, including alcoholism, alcohol ...
American Family Physician : AFP By Topic
https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=1
Alcohol Withdrawal Syndrome - American Family Physician
Mar 15, 2004 - The spectrum of alcohol withdrawal symptoms ranges from such minor symptoms as insomnia and tremulousness to severe complications such as withdrawal seizures and delirium tremens. Although the history and physical examination usually are sufficient to diagnose alcohol withdrawal ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0315/p1443.html
Alcohol-Related Problems: Recognition and Intervention - American Family Physician
Jan 15, 1999 - Early identification of alcohol-related problems is important because these problems are prevalent, pose serious health risks to patients and their families, and are amenable to intervention. Physicians may be able to help patients change their drinking behaviors. The most effective ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0115/p361.html
Alcoholism in the Elderly - American Family Physician
Mar 15, 2000 - Alcohol abuse and alcoholism are common but underrecognized problems among older adults. One third of older alcoholic persons develop a problem with alcohol in later life, while the other two thirds grow older with the medical and psychosocial sequelae of early-onset alcoholism. The ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0315/p1710.html
Ambulatory Detoxification of Patients with Alcohol Dependence - American Family Physician
Feb 1, 2005 - Detoxification from alcohol can be undertaken in ambulatory settings with patients who are alcohol-dependent and show signs of mild to moderate withdrawal when they are not drinking. An appropriate candidate for outpatient detoxification should have arrangements to start an alcohol ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0201/p495.html
Chronic Pancreatitis - Clinical Evidence Handbook - American Family Physician
Mar 1, 2008 - What are the effects of lifestyle and drug interventions and dietary supplements in persons with chronic pancreatitis? What are the effects of nerve blocks for pain relief in persons with chronic pancreatitis? What are the effects of different invasive treatments for specific ...
American Family Physician : Clinical Evidence Handbook
https://www.aafp.org/afp/2008/0301/p661.html
Cochrane for Clinicians - Apr 1, 2006 - American Family Physician
Apr 1, 2006 - Benzodiazepines are safe and effective for the treatment of alcohol withdrawal, particularly for the prevention of withdrawal seizures, although their superiority to anticonvulsants has not been demonstrated convincingly. There is no clear benefit of one benzodiazepine over another or ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2006/0401/p1191.html
Cochrane for Clinicians - Apr 1, 2006 - American Family Physician
Apr 1, 2006 - The single clinical trial on this topic found that inhaled beta agonists do not reduce cough frequency or improve symptoms in children with chronic, nonspecific cough.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2006/0401/p1191a.html
Effectiveness of Acamprosate in the Treatment of Alcohol Dependence - Cochrane for ...
Mar 1, 2011 - When used in conjunction with detoxification and psychosocial interventions for treating alcohol dependence, acamprosate can reduce the risk of any return to drinking and improve cumulative abstinence rates.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2011/0301/p522.html
Effectiveness of Brief Alcohol Interventions in Primary Care - Cochrane for Clinicians ...
Mar 1, 2009 - For men who engage in excessive or hazardous drinking and present to their primary care physician for issues not specifically related to alcohol treatment, an intervention of one to four sessions administered by a physician, nurse, or psychologist is effective in reducing weekly alcohol...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2009/0301/p370.html
Health Issues in Men: Part II. Common Psychosocial Disorders - American Family Physician
Jul 1, 2000 - During screening examinations and, when appropriate, other health-related visits, family physicians should be alert for signs and symptoms of common psychosocial disorders in men. Health issues of concern include alcohol and substance abuse, domestic violence, midlife crisis and ...
American Family Physician : Article
https://www.aafp.org/afp/2000/0701/p117.html
Helping Patients Who Drink Too Much: An Evidence-Based Guide for Primary Care ...
Jul 1, 2009 - Excessive alcohol consumption is a leading cause of preventable morbidity and mortality, but few heavy drinkers receive treatment. Primary care physicians are in a position to address heavy drinking and alcohol use disorders with patients, and can do so quickly and effectively. The ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0701/p44.html
How Can I Help My Patient Stop Drinking? - Curbside Consultation - American Family ...
Apr 1, 2002 - There is no harder task than trying to help a patient who denies having a problem. Self-delusion and denial are key elements of alcoholism. Alcoholics may delude themselves into thinking that they are not drinking too much or that they can control their drinking.
American Family Physician : Curbside Consultation
https://www.aafp.org/afp/2002/0401/p1475.html
Identification of and Treatment for Unhealthy Alcohol Use in Primary Care Settings - ...
Jun 15, 2019 - We have identified the ways in which family physicians can implement the USPSTF screening recommendation for unhealthy alcohol use and then intervene when a patient has a positive screen.
American Family Physician : Editorials
https://www.aafp.org/afp/2019/0615/p733.html
Making a Difference with Patients Who Drink Too Much - Editorials - American Family ...
Jul 1, 2009 - Advertisement << Previous article Next article >> Jul 1, 2009 Issue Editorials Making a Difference with Patients Who Drink Too Much WILLIAM R. MILLER, PhD, Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, New Mexico BRONWYN E. WILSON, MD,...
American Family Physician : Editorials
https://www.aafp.org/afp/2009/0701/p21.html
Management of Alcohol Withdrawal Syndrome - FPIN's Clinical Inquiries - American Family...
Aug 15, 2010 - AWS may be managed with outpatient therapy if the patient has mild to moderate symptoms.
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2010/0815/p344.html
Management of Withdrawal Syndromes and Relapse Prevention in Drug and Alcohol Abuse - ...
Jul 1, 1998 - The primary care physician is in a good position to diagnose, manage and intervene with patients who are undergoing the process of treatment and recovery from alcohol and drug disorders. Medications such as benzodiazepines are effective in the treatment of withdrawal syndromes, and ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0701/p139.html
Medications for Alcohol Use Disorder - American Family Physician
Mar 15, 2016 - The U.S. Preventive Services Task Force recommends that clinicians screen adults for alcohol misuse and provide persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. However, only a minority of American adults with high-risk ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0315/p457.html
Medications for Treating Alcohol Dependence - American Family Physician
Nov 1, 2005 - Medications for treating alcohol dependence primarily have been adjunctive interventions, and only three medications--disulfiram, naltrexone, and acamprosate--are approved for this indication by the U.S. Food and Drug Administration. Disulfiram, an aversive agent that has been used for ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1101/p1775.html
Opioid Antagonists for the Treatment of Alcohol Dependence - Cochrane for Clinicians - ...
Nov 1, 2011 - Although it does not improve overall alcohol abstinence rates, the oral formulation of the opioid antagonist naltrexone (Revia) is moderately effective in decreasing the amount and frequency of alcohol consumption in patients with alcohol dependence.
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2011/1101/p990.html
Outpatient Detoxification of the Addicted or Alcoholic Patient - American Family Physician
Sep 15, 1999 - Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0915/p1175.html
Outpatient Management of Alcohol Withdrawal Syndrome - American Family Physician
Nov 1, 2013 - Approximately 2% to 9% of patients seen in a family physician’s office have alcohol dependence. These patients are at risk of developing alcohol withdrawal syndrome if they abruptly abstain from alcohol use. Alcohol withdrawal syndrome begins six to 24 hours after the last intake of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1101/p589.html
Pharmacotherapy for Adults with Alcohol Use Disorder - Implementing AHRQ Effective ...
Jul 15, 2016 - What are the potential benefits and adverse effects of medications used to treat alcohol use disorder (AUD) in adult outpatients?
American Family Physician : Implementing AHRQ Effective Health Care Reviews
https://www.aafp.org/afp/2016/0715/p155.html
Problem Drinking and Alcoholism: Diagnosis and Treatment - American Family Physician
Feb 1, 2002 - Alcoholism is one of the most common psychiatric disorders with a prevalence of 8 to 14 percent. This heritable disease is frequently accompanied by other substance abuse disorders (particularly nicotine), anxiety and mood disorders, and antisocial personality disorder. Although ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0201/p441.html
Recognition of Alcohol and Substance Abuse - American Family Physician
Apr 1, 2003 - Ten percent of the population abuses drugs or alcohol, and 20 percent of patients seen by family physicians have substance-abuse problems, excluding tobacco use. These patients can be identified by relying on regular screening or a high index of suspicion based on
American Family Physician : Article
https://www.aafp.org/afp/2003/0401/p1529.html
Routine Screening for Depression, Alcohol Problems, and Domestic Violence - ...
May 15, 2004 - During routine office visits, primary care physicians are expected to efficiently and effectively screen their patients for common, important conditions. Routine screening for depression is recommended by the U.S. Preventive Services Task Force (USPSTF) as long as systems are in place ...
American Family Physician : Point-of-Care Guides
https://www.aafp.org/afp/2004/0515/p2421.html
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...
Jun 15, 2014 - A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he goes out drinking every weekend with his friends.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2014/0615/p971.html
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...
Nov 1, 2004 - Case study: MN, a 25-year-old woman, visits your office for evaluation of insomnia. As part of her social history, she tells you that she is a social drinker. Further questioning reveals that she drinks about as much as she did during college. You want to better assess her alcohol use.
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2004/1101/p1743.html
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...
Jun 15, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen adults 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2014/0615/od1.html
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol ...
Jul 15, 2004 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on behavioral counseling interventions to reduce alcohol misuse in primary care patients and the supporting evidence, and it updates the 1996 recommendations contained in the Guide to Clinical ...
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2004/0715/p353.html
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...
Jun 15, 2019 - A 20-year-old male with a history of exercise-induced asthma presents to your office for his yearly physical. He is a student at the local university and is on the university fencing team. When asked about his classwork, he expresses that college is going okay but can be stressful ...
American Family Physician : Putting Prevention into Practice
https://www.aafp.org/afp/2019/0615/p771.html
Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in ...
Jun 15, 2019 - The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.
American Family Physician : U.S. Preventive Services Task Force
https://www.aafp.org/afp/2019/0615/od1.html
Screening Tools for Unhealthy Alcohol Use - FPIN's Help Desk Answers - American Family ...
Dec 1, 2017 - A single-question alcohol use screen and the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C) can be used to detect unhealthy alcohol use and alcohol use disorder. Their performance is similar between sexes and across races.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2017/1201/od2.html
The CDC’s Recommendations to Help Prevent Fetal Alcohol Spectrum Disorders - Editorials...
Jan 1, 2017 - Alcohol screening and brief intervention, coupled with regular discussion of the patient's reproductive life plan and ready access to effective contraception, can help ensure a healthier next generation while respecting women's autonomy.
American Family Physician : Editorials
https://www.aafp.org/afp/2017/0101/p6.html
Treatment of Ethylene Glycol Poisoning - American Family Physician
Sep 1, 2002 - Ingestion of ethylene glycol may be an important contributor in patients with metabolic acidosis of unknown cause and subsequent renal failure. Expeditious diagnosis and treatment will limit metabolic toxicity and decrease morbidity and mortality. Ethylene glycol poisoning should be ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0901/p807.html
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