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Core IM | Internal Medicine Podcast

#27 Treatment of Alcohol Use Disorder: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 7 November 2018

⏱️ 28 minutes

🧾️ Download transcript

Summary

Solidify your knowledge on Alcohol Use Disorder (AUD) treatment and more! Quiz yourself on the 5 pearls we will be covering: * Throwback: At what levels of drinking does unhealthy alcohol use start, and how do you screen for unhealthy alcohol use? (1:47) * What does the brief intervention and counseling part of SBIRT entail? (4:43) * What are the first line medications for AUD and contraindications to them? (11:11) * What are the second-line medications for AUD and their limitations? (18:14) * What new therapies are being studied for for alcohol use disorder? (22:09) * Pearls Recap (25:06) For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2018/11/07/5-pearls-on-treatment-of-alcohol-use-disorder/ (https://www.coreimpodcast.com/2018/11/07/5-pearls-on-treatment-of-alcohol-use-disorder/) tag: naltrexone, acamprosate, gabapentin, topiramate, SBIRT, neuromodulation, nalmafene, psychaedelics, audit-c Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

This is the Core I Am Five Girls Podcast,

0:04.2

This is Dr. Marty Freed.

0:09.2

Dr. Shirei Trevetti and Dr. Catherine Lawrence.

0:12.1

This is the Core I Am Five Pearls Podcast brought to you by clinical correlations.

0:16.0

Bringing you high yield evidence-based pearls.

0:19.0

Today we are finishing our discussion on unhealthy alcohol use and alcohol use disorder by focusing on treatment.

0:25.6

This podcast has many thank yous for peer review.

0:28.7

Dr. Jennifer McNeely, Associate Professor of NYU School of Medicine, Dr. Irene Swanenburg, Bellevue attending, Dr Oscar Buxton,

0:36.1

Harvard Professor, Dr Anthony Acursio from NYU Brooklyn, as well as a special mention to

0:41.6

Dr Bill Fuller from Columbia and Dr.

0:43.8

Evan Harmon from University of Virginia.

0:45.9

All right, let's get started with the five questions on the pearls we'll be covering.

0:50.4

Test yourself by pausing after each of the five questions.

0:54.0

Remember, the more you test yourself, the deeper your learning gains.

0:57.0

This episode, we're going to start with the throwback pearl, screening for unhealthy alcohol use.

1:02.0

At what levels of drinking does unhealthy alcohol use usually ring a red flag

1:07.0

and what are some of the screeners for unhealthy alcohol use?

1:12.0

Pearl 1. Espert.

1:13.6

What does brief intervention and counseling part of Espert entail?

1:17.2

Pearl 2, first line medications.

1:21.1

What are the FDA approved meds for alcohol use disorder and what are some of the contraindications for those meds?

1:27.0

Pearl 3. Second line medications.

...

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