Podcast 863: Treatments for Alcohol Use Disorder

Podcast 863: Treatments for Alcohol Use Disorder

Contributor: Aaron Lessen MD

Educational Pearls:

  • Patients with alcohol use disorder are frequently discharged from the ED without further resources

  • Pharmacological treatments to reduce cravings in AUD exist

  • Naltrexone

    • Effective at reducing alcohol cravings and heavy drinking

  • Gabapentin

    • Reduces the percentage of heavy drinking days in AUD

  • Patients being discharged from the ED should be asked if they feel their alcohol use is a problem, which can further direct appropriate pharmacological interventions

References

1. Kranzler M.D. HR, Feinn Ph.D. R, Morris B.A. P, Hartwell Ph.D. EE. A Meta-analysis of the Efficacy of Gabapentin for Treating Alcohol Use Disorder Henry. Addiction. 2019;114(9):1547-1555. doi:10.1111/add.14655

2. Maisel NC, Blodgett JC, Wilbourne PL, Humphreys K, Finney JW. Meta-analysis of naltrexone and acamprosate for treating alcohol use disorders: When are these medications most helpful? Addiction. 2013;108(2):275-293. doi:10.1111/j.1360-0443.2012.04054.x

3. Mariani JJ, Pavlicova M, Basaraba C, et al. Pilot randomized placebo-controlled clinical trial of high-dose gabapentin for alcohol use disorder. Alcohol Clin Exp Res. 2021;45(8):1639-1652. doi:10.1111/acer.14648

Summarized & Edited by Jorge Chalit, OMSII

Jaksot(1153)

Podcast 1001: Acute Intermediate Risk Pulmonary Embolism

Podcast 1001: Acute Intermediate Risk Pulmonary Embolism

Contributor: Aaron Lessen, MD Educational Pearls: Patients with pulmonary embolism (PE) are divided into three risk categories Low risk (non-massive PE): patients are stable Treatment: prescribe an...

13 Huhti 3min

Celebrating 1000 Medical Minutes

Celebrating 1000 Medical Minutes

Hosts: Don Stader, Nate Novotny, Travis Barlock, and Jeffrey Olson In this episode, we reminice about the first 1000 medical minutes presented by EMM and what the next 1000 might hold. Below are all o...

3 Huhti 1h 29min

Podcast 1000: Cool Water

Podcast 1000: Cool Water

Contributor: Aaron Lessen, MD Educational Pearls: Burns range in complexity from minor first-degree burns to more severe full-thickness burns. Initial basic burn management: Run the burn under cool ...

30 Maalis 2min

Podcast 999: Right vs Left Internal Jugular Access

Podcast 999: Right vs Left Internal Jugular Access

Contributor: Travis Barlock, MD Educational Pearls: What is an internal jugular catheter (IJ) and when do we use it? IJs are catheters that can be placed in either the left or the right internal jugu...

23 Maalis 2min

Podcast 998: Delayed Intubation After an Overdose

Podcast 998: Delayed Intubation After an Overdose

Contributor: Aaron Lessen, MD Educational Pearls: How long do we need to watch patients with a presumed overdose who were treated with naloxone in the field? A 2025 study in the Annals of Emergency M...

16 Maalis 3min

Podcast 997: D-Dimer

Podcast 997: D-Dimer

Contributor: Travis Barlock, MD Educational Pearls: D-dimer: fibrin degradation product used to evaluate for clot formation and breakdown Threshold: Elevated D-dimer indicates recent or ongoing int...

9 Maalis 2min

Podcast 996: Melatonin

Podcast 996: Melatonin

Contributor: Taylor Lynch MD Educational Pearls: Melatonin is an endogenous hormone released primarily by the pineal gland Also released by extrapineal regions in the retina, the GI tract, and some ...

2 Maalis 4min

Episode 995: UTI Diagnosis

Episode 995: UTI Diagnosis

Contributor: Travis Barlock, MD Educational Pearls:  Foul-smelling urine and cloudy urine are commonly misinterpreted as indicators of a UTI. However, these findings alone are not diagnostic. Criteri...

24 Helmi 5min

Suosittua kategoriassa Tiede

rss-mita-tulisi-tietaa
tiedekulma-podcast
rss-duodecim-lehti
rss-kasvikutsut
rss-poliisin-mieli
mielipaivakirja
rss-kasvatuspsykologiaa-kaikille
utelias-mieli
docemilia
vinkista-vihia
filocast-filosofian-perusteet
rss-ranskaa-raakana
rss-ammamafia
rss-astetta-parempi-elama-podcast
rss-tiedetta-vai-tarinaa