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Overcoming Alcohol Addiction in Patients with Alcohol-Related Liver Disease

  • Gene Y. ImEmail author
Management of Cirrhotic Patient (A Cardenas and P Tandon, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Management of the Cirrhotic Patient

Abstract

Purpose of Review

This review provides a brief overview of key concepts in addiction medicine and provides tips and tricks as it pertains to treating patients with alcohol addiction in the setting of advanced alcohol-related liver disease (ALD).

Recent Findings

Understanding the brain disease model of addiction by both providers and patients is a vital springboard for establishing a therapeutic relationship. Despite a paucity of high-quality evidence, psychosocial treatments have withstood the test of time and still form the foundation of alcohol use disorder (AUD) treatment in advanced ALD. Despite the inescapable link between AUD) and advanced ALD, there are no FDA-approved medications for use in this special population. In this urgent subgroup, only baclofen, used off-label, has been shown to be effective for AUD in randomized controlled trials.

Summary

An integrated, multidisciplinary and longitudinal approach remains the best option for the management of AUD in advanced ALD.

Keywords

Alcohol-use disorder Alcohol-related liver disease Baclofen Alcoholism Craving Alcohol-related cirrhosis 

Notes

Compliance with Ethical Standards

Conflicts of Interest

Gene Im declares no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Icahn School of Medicine at Mount Sinai, Division of Liver DiseasesRecanati-Miller Transplantation InstituteNew YorkUSA

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