Trastorno por consumo de alcohol — farmacoterapia

Why / when / how

Pharmacotherapy reduces the risk of relapse in alcohol use disorder and acts as an adjunct to psychosocial support. The certainty of the evidence for the critical outcomes is moderate. This is why the recommendation is conditional in favor: the balance between benefits and risks is favorable, with moderate certainty.

Cautions

Before intervening on substance use and exposure to toxicants, assess the patient's consumption pattern, dependence, and clinical conditions, and individualize the approach. Discontinuing substances that produce physical dependence may require medical supervision because of the risk of a withdrawal syndrome, so it should not be stopped abruptly without assessment. Advise seeking professional care in the presence of any warning sign, including in crisis situations, and refer to specialized addiction treatment/environmental health services, according to the case. Reassess the course periodically.

Quantitative evidence