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APA Practice Guideline for the Pharmacological Treatment of Patients With alcohol use disorder December 2017 Rationale for choice of topic Prevalence: Worldwide (Slade et al., 2016) Lifetime 20% 12 month 8.5% U.S. (Grant et al. 2015, 2017) Lifetime 29%, with severe alcohol use disorder (AUD) in about half 12 month 13.9 %What are APA Practice Guidelines?
Practice Guidelines. American Psychiatric Association (APA) practice guidelines provide evidence-based recommendations for the assessment and treatment of psychiatric disorders. Practice guidelines are intended to assist in clinical decision making by presenting systematically developed patient care strategies in a standardized format.What is the clinical evidence for alcohol use disorder?
Alcohol use disorder Opioid use disorder Alcohol use disorder Clinical Evidence Reduced likelihood of return to any and heavy drinking; Fewer drinking days overall; Reduced subjective experience of “craving” Decreased likelihood of returning to drinking after achieving abstinence; Fewer drinking days Pre-treatment Workup Check hepatic functionHow is alcohol use disorder (AUD) treated in pregnant women?
For treatment of pregnant individuals with AUD, see American Psychiatric Association Practice Guideline for the Pharmacological Treatment of Patients With Alcohol Use Disorder, Statement 14: Pharmacotherapy in Pregnant or Breastfeeding Women. b. Consult package insert for full prescribing information for each medication.