Alcohol Abuse and Alcoholism (cont.)
Roxanne Dryden-Edwards, MD
Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Alcohol use disorder facts
- What is alcohol abuse?
- What is alcoholism?
- What differentiates alcohol abuse from alcoholism?
- What are risk factors for alcoholism?
- What causes alcoholism? Is alcoholism hereditary?
- What are alcohol abuse and alcoholism symptoms and signs in teenagers, women, men, and the elderly?
- How do physicians diagnose alcohol use disorder?
- What are the stages of alcohol use disorder?
- What is the treatment for alcohol use disorder?
- What medications treat alcohol use disorder?
- How can you tell if someone has a drinking problem?
- Can an alcoholic just cut back or stop drinking?
- Is there a safe level of drinking?
- Is it safe to drink alcohol while pregnant?
- How can someone find more information or get help or support to treat alcohol use disorder?
- What are the long-term physical and psychological effects of alcohol use disorder?
- What is codependency, and what is the treatment for codependency?
- Is it possible to prevent alcohol use disorder?
- What is the prognosis of alcohol use disorder?
- Find a local Psychiatrist in your town
What medications treat alcohol use disorder?
There are few medications that are considered effective in treating moderate to severe alcohol use disorder. Naltrexone (Trexan, Revia, or Vivitrol) has been found effective in managing this illness. It is the most frequently used medication in treating alcohol use disorder . It decreases the alcoholic's cravings for alcohol by blocking the body's euphoric ("high") response to it. Naltrexone is either taken by mouth on a daily basis or through monthly injections. Disulfiram (Antabuse) is prescribed for about 9% of alcoholics. It decreases the alcoholic's craving for the substance by producing a negative reaction to drinking. Acamprosate (Campral) works by decreasing cravings for alcohol in those who have stopped drinking. Ondansetron (Zofran) has been found to be effective in treating alcohol use disorder in people whose problem drinking began before they were 25 years old. None of these medications have been specifically approved to treat alcoholism in people less than 18 years of age. Baclofen (Lioresal) has been found to be a potentially effective treatment to decrease alcohol cravings and withdrawal symptoms. Some research indicates that psychiatric medications like lithium (Eskalith, Lithobid) and sertraline (Zoloft) may be useful in decreasing alcohol use in people who have another mental-health disorder in addition to alcohol use disorder.
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