Abusing alcohol

Also known as Alcohol abuse and Drinking problem

Alcohol abuse, as described in the DSM-IV, is a psychiatric diagnosis describing the recurring use of alcoholic beverages despite its negative consequences. Alcohol abuse is sometimes referred to by the less specific term alcoholism. However, many definitions of alcoholism exist, and only some are compatible with alcohol abuse. There are two types of alcoholics: those who have anti social and pleasure-seeking tendencies, and those who are anxiety-ridden- people who are able to go without drinking for long periods of time but are unable to control themselves once they start.Binge drinking is another form of alcohol abuse. Frequent binge drinking or getting severely drunk more than twice is classed as alcohol misuse. According to research done through international surveys, the heaviest drinkers happen to be the United Kingdom's adolescent generation.

Source: Wikipedia

What causes it?

The most common causes of abusing alcohol are alcohol abuse, depression, and drug abuse (cocaine). Other possible causes, such as anxiety, are more rare.

What symptoms are related?

Within all the people who go to their doctor with abusing alcohol, 65% report having drug abuse, 40% report having depressive or psychotic symptoms, and 34% report having depression.


What might my doctor prescribe?

Common Tests and Procedures

Patients with abusing alcohol often receive hematologic tests, complete blood count, urinalysis, glucose measurement, mental health counseling, intravenous fluid replacement, electrolytes panel and blood alcohol .

Common Medications

The most commonly prescribed drugs for patients with abusing alcohol include thiamine, chlordiazepoxide, acamprosate (campral), magnesium sulfate, oxazepam, disulfiram (antabuse), naltrexone, clorazepate, fluoxetine / olanzapine, levocarnitine, pancuronium, octreotide and guaifenesin / theophylline .

Thiamine
$3
(28 days)
Chlordiazepoxide
$8
(28 days)
Acamprosate (Campral)
$126
(28 days)
Magnesium Sulfate
$13
(14 days)
Oxazepam
$29
(28 days)
Disulfiram (Antabuse)
$109
(28 days)
Naltrexone
$95
(28 days)
Clorazepate
$18
(28 days)
Levocarnitine
$86
(28 days)
Pancuronium

Octreotide
$1745
(21 days)

Who is at risk?

Groups of people at highest risk for abusing alcohol include age 30-44 years, sex == male and age 45-59 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get abusing alcohol.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
1.2x
30-44 years
1.8x
45-59 years
1.6x
60-74 years
0.6x
75+ years
0.1x

Sex

Male
1.6x
Female
0.6x

Race/Ethnicity

Black
1.1x
Hispanic
1.0x
White
1.0x
Other
0.9x
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