• AutoTL;DRB
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    11 year ago

    This is the best summary I could come up with:


    Lynn’s initial daily intake of half a bottle of wine would make her a high-risk drinker, according to Canada’s guidelines on alcohol and health, updated in January.

    They make 15 recommendations for family physicians, nurse practitioners and other health-care providers, ranging from how to ask about a patient’s alcohol use, to how to manage withdrawal symptoms and treat AUD over the long term.

    Dr. Tim Naimi, director of the Canadian Institute for Substance Use Research at the University of Victoria and a primary care physician, said we’re all on different trajectories when it comes to drinking, but few are asked about it by their family doctors, if they have one.

    “There are lots of people who sort of drink to the point of impairment on a pretty regular basis who may not qualify for an alcohol use disorder,” said Naimi, who was not involved with the guidelines.

    When Lynn went to her family physician about her depression, she was prescribed a common antidepressant that’s in a group of drugs called selective serotonin reuptake inhibitors, or SSRIs.

    The second paper published in CMAJ on Monday uses a case study to illustrate how “SSRIs may not be effective for depressive symptoms in people with concurrent AUD, and may worsen alcohol use in some.”


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