QUESTION
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Alcohol use disorder
A 51-year-old partner at a leading financial firm, Thomas Frost is struggling with his alcohol use. He has tried multiple times to reduce or stop drinking but has yet to succeed. His alcohol use has started to affect his work performance and is straining his relationships with his wife and children. Thomas’ wife, Joanne, calls your office for support around creating a treatment plan and helping find appropriate and high-quality care for Thomas that would give him the best chance for successfully stopping his use of alcohol.
What FDA medications are approved for treating alcohol use disorder? How would you know when to use one FDA-approved medication versus another in treating a patient with alcohol use disorder (such as patient symptoms, medical problems, compliance issues, and so on)? What side effects would you expect and educate a patient about with the FDA approved medications for alcohol use disorder? Identify one medication used off-label in treating alcohol use disorder and provide a source supporting its use.
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Subject | Nursing | Pages | 3 | Style | APA |
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Answer
Alcohol Use Disorder
Alcohol use disorder refers to the uptake of alcohol up to a level that one fails to control their drinking pattern. The phenomenon is similar to alcoholism. In this situation, a person always feels to drink alcohol despite the associated consequences. An individual taking alcohol in this condition always tries to regulate or quit drinking but the efforts are always in vain. The specific primary cause of alcohol use disorder varies widely. It could be due to peer pressure, stress or other emotional problems (Vaeth et al 2017).
The medications that are approved for treating alcohol use disorder included the use detoxification medicines as provided by the healthcare professional. The medicines reduce the urge to drink alcohol. The medications include Acamprosate, Disulfiram, and Naltrexone (Antonelli et al., 2018).
In order to know the type of FDA-approved medication to be give the patient, one needs to listen keenly to the patient and gather the proper information that can enable informed judgement on the choice of treatment. In this case, symptoms, compliance, medical history of the patient will be very vital (Sessa, 2016). Although most alcoholics have almost similar symptoms, a healthcare professional needs to keenly monitor the patient to determine the most appropriate medication to prescribe.
The side effects of alcohol use disorder include alcohol-related liver disease, alcoholic cardiopathy, alcoholic neuropathy, and Wernicke Korsakoff syndrome. One of the medications that can be offered off-label is Disulfiram for an unapproved indication such as an unapproved age group, dosage, or route of administration which is a legal and common practice (Soyka, 2017).
References
Soyka, M., & Müller, C. A. (2017). Pharmacotherapy of alcoholism–an update on approved and off-label medications. Expert Opinion on Pharmacotherapy, 18(12), 1187-1199.
Sessa, B., & Worthley, E. (2016). Psychedelic Drug Treatments: Assisting the Therapeutic Process. Stylus Publishing, LLC.
Antonelli, M., Ferrulli, A., Sestito, L., Vassallo, G. A., Tarli, C., Mosoni, C., … & Addolorato, G. (2018). Alcohol addiction-the safety of available approved treatment options. Expert opinion on drug safety, 17(2), 169-177.
Vaeth, P. A., Wang‐Schweig, M., & Caetano, R. (2017). Drinking, alcohol use disorder, and treatment access and utilization among US racial/ethnic groups. Alcoholism: Clinical and Experimental Research, 41(1), 6-19.
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