Intended for healthcare professionals


Challenge for doctors and policy makers

BMJ 2006; 332 doi: (Published 02 February 2006) Cite this as: BMJ 2006;332:277
  1. Paul Haber, head of department of drug and alcohol services (
  1. 1 Royal Prince Alfred Hospital, NSW 2050, Australia

    Mr Bond's management raises several issues.1 In the rapid responses on, Mark Willenbring succinctly summarises the most practical approach to the management of Mr Bond's alcohol dependence.2 Regular follow-up with feedback on progress and continuing encouragement to reduce alcohol use can be surprisingly effective. It is also a straightforward management plan that can be offered by the patient's current medical team. Cirrhotic patients can safely be offered treatment to control their alcohol use with acamprosate, naltrexone, or disulfiram, singly or in combination.3 These drugs are simpler to prescribe and monitor than many used in routine clinical practice and …

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