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Clinical Question: What interventions are most effective in the treatment of alcohol dependence?

MCH - OB/GYN Chief Clinical Coordinator's Corner
Synopsis: Behavioral interventions and at least two medications-naltrexone (Revia) and acamprosate (Campral)-are effective in the treatment of alcohol dependence. Whether combining pharmacotherapy with behavior therapy will improve outcomes is unknown. These investigators randomized (concealed allocation) 1,383 adults (428 women and 955 men; median age = 44 years) meeting Diagnostic and Statistical Manual of Mental Disorders, 4th ed.
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Is alcohol dependence (alcoholism) a disease?

Frequently Asked Questions relating to Alcohol Abuse and Dep...
Yes, alcohol dependence (alcoholism) is a disease. Alcohol dependence alters parts of the brain from its normal healthy state, this is called disease.1 There now exists undisputable evidence provided by brain imagery scans that show differences in the brains of people dependent on alcohol vs. people who are not.1 Any ongoing debate about whether or not alcoholism is a disease results from a misunderstanding of the definition of both alcoholism and disease.2 (See Glossary.
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Is alcohol dependence (alcoholism) inherited?

Frequently Asked Questions relating to Alcohol Abuse and Dep...
Research shows that the risk for developing alcoholism does indeed run in families. The genes a person inherits partially explain this pattern, but lifestyle is also a factor. Currently, researchers are working to discover the actual genes that put people at risk for alcoholism. Friends, the amount of stress in life, and how readily available alcohol is also are factors that may increase risk for alcoholism.1 But remember: Risk is not destiny.
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What is the difference between alcohol dependence (alcoholism) and alcohol abuse?

Frequently Asked Questions relating to Alcohol Abuse and Dep...
Alcoholism, alcohol dependence, alcohol addiction are synonymous. It is a diagnosable disease characterized by several factors including a strong craving for alcohol, continued use despite harm or personal injury, the inability to limit drinking, physical illness when drinking stops, and the need to increase the amount drunk in order to feel the effects.1 Alcohol abuse is a pattern of drinking that results in harm to one's health, interpersonal relationships or ability to work.
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Can alcohol dependence (alcoholism) be treated or cured?

Frequently Asked Questions relating to Alcohol Abuse and Dep...
Alcohol dependence (alcoholism) can be treated. Alcohol dependence treatment programs use both counseling and medications to help a person stop drinking. Treatment has helped many people stop drinking and rebuild their lives.1 Alcohol dependence treatment works for many people. But like other chronic illnesses, such as diabetes, high blood pressure, and asthma, there are varying levels of success when it comes to treatment. Some people stop drinking and remain abstinent.
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What role do medications for alcohol dependence play?

Frequently Asked Questions relating to Alcohol Abuse and Dep...
There are now medications currently approved for treating alcohol dependence. They have been shown to help patients reduce drinking, avoid relapse to heavy drinking, achieve and maintain abstinence, or gain a combination of these effects. As is true in treating any chronic illness, addressing patient adherence issues throughout the treatment will maximize the effectiveness of these medications.
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Which medications are available to treat alcohol dependence?

Frequently Asked Questions relating to Alcohol Abuse and Dep...
In addition, an injectable, long-acting (30 day) form of naltrexone (VIVITROL®) became available in 2006.1 These medications have been shown to help people with alcohol dependence reduce their drinking, avoid relapse to heavy drinking, and achieve and maintain abstinence.1 Acamprosate is thought to work by reducing symptoms that follow lengthy abstinence, such as anxiety and insomnia.
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How effective is the treatment?

Frequently asked questions - Back Pain Institute - SpineTREX...
Not everyone is a candidate for the SpineTREX program. For those who qualify, better than 8 out of 10 are successful.
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ECP: FAQ
Up to 80% of patients experience significant improvement in their condition after ECP treatment. Patients often report that their chest pain has diminished or ceased altogether, that they have greater energy and stamina, that they need less medication, and that they are able to more fully participate in life.
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IS PROBLEM DRINKING OR ALCOHOL DEPENDENCE CAUSED BY A GENETIC PREDISPOSITION?

Addiction Alternatives: Counselling & Treatment Services
There are a multitude of factors that influence an individual's use of alcohol, one of which may be a genetic vulnerability. This alone, however, does not account for the development of problem drinking or dependence. Social and psychological factors play a role as do past learning experiences. An individual's personal characteristics- those qualities that make you the person you are - interact with the people, events and day to day stresses of your environment.
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Clinical Question: Is toremifene (Fareston) an effective treatment for mastalgia?

MCH - OB/GYN Chief Clinical Coordinator's Corner
Synopsis: Mastalgia (i.e., painful symptoms of the breast) is the most common clinical complaint in women with benign breast disease. Toremifene is a new selective estrogen receptor modulator that is equally as effective as, but less toxic than, tamoxifen (Nolvadex) in the treatment of breast cancer. To evaluate the benefit of toremifene for the treatment of mastalgia, the investigators performed a randomized, double-blind (concealed allocation assignment) trial of 195 women with persistent (i.
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What are alcohol abuse and alcohol dependence?

Quality Health | Alcohol Abuse and Dependence
Alcohol abuse means having unhealthy or dangerous drinking habits, such as drinking every day or drinking too much at a time. Alcohol abuse can harm your relationships, cause you to miss work, and make it hard to do the things you need to do. It can lead to legal problems, such as being arrested for disorderly conduct or driving while intoxicated. If alcohol abuse continues, it can lead to alcohol dependence. Alcohol dependence is also called alcoholism.
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Is there a difference between alcohol dependence and alcohol abuse?

Campral: Healthcare Professionals - Patient FAQS
Yes. The difference is in the degree of symptoms. People who are alcohol-dependent may have a physical addiction and have lost the ability to control their drinking. With physical dependence, their bodies need alcohol and without it, they go into withdrawal. People who abuse alcohol are able to control the amount of alcohol they consume, are not physically dependent on it, and will not experience withdrawal symptoms when they do not drink.
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How effective are brief interventions?

FREQUENTLY ASKED QUESTIONS
Randomized, controlled clinical trials in a variety of populations and settings have shown that brief interventions can decrease alcohol use significantly among people who drink above the recommended limits but aren’t dependent. In several intervention trials with multiple brief contacts, for example, heavy drinkers cut an average of three to nine drinks per week, for a 13 to 34 percent net reduction in consumption.
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Is the treatment for drug or alcohol abuse?

Frequently Asked Questions — ChooseHelp.com
Depending on the drug of abuse, some of the educational seminars and group sessions may vary, but essentially the drug treatment as offered centers around addiction recovery, regardless of the drug of use and abuse. Every patient entering into a ChooseHelp.com rehab will undergo a comprehensive pre assessment period, and addictions professionals will design a recovery plan tailored to the needs of the individual.
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Why is rehab more effective than outpatient treatment?

Frequently Asked Questions — ChooseHelp.com
Outpatient drug treatment, appealing to many who wish to remain with family, to remain working, and to avoid the expense and disruption of residential care; is unfortunately less effective than more intensive residential rehab drug treatment. Outpatient patients never get a real break from exposure to temptations and triggers to abuse and from the normal responsibilities of every day life, and are unable to focus as intensively on the needed lessons of recovery.
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How effective is the ELT treatment?

Vein Centers of Lake Norman, Vein Center Charlotte, Varicose...
The ELT procedure is about 98% effective in closing the vein. Obviously, when a vein is stripped, it is impossible for it to return as it is completely removed. However, with traditional stripping, there is a greater chance of new veins growing. So even though the original vein is gone, new ones may recur which require treatment in the future. With ELT, new veins are unlikely to grow thus greatly decreasing the likelihood that you will require additional treatment in the future.
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Is Olive Oil treatment effective?

Ketorac.com Health Care - Perth, Western Australia - head li...
A State Health Department document, widely circulated by schools recommends olive oil as a 'safe and effective way to kill head lice'. It is applied generously to the hair and left on for 8 hours or overnight, on 7 days in a 21 day period. This recommendation is presumably based on its supposed effect as a suffocating agent, or as an aid to nit-combing by lubricating the hair. The Harvard School of Public Health is usually quoted as the reliable source of this recommendation.
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Is there an effective combination of treatment to halitosis?

Frequently Asked Questions
Yes. The combination of cleaning by hand (mechanical cleaning), chemical neutralisation of smells and antibacterial action of specific medicaments will deal with any bad breath problem caused in the mouth.
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Is the treatment effective for all skin types?

FAQs information on laser hair removal
Yes. The FDA has approved the laser used by Affordable Laser Hair Removal (Gentle Touch Laser) as safe and effective for all skin types.
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Is his treatment effective?

Raztec FAQ -Hairloss, hair loss, alopecia, bald, baldness
Dr. Razack believes that the medical literature supports Dr. Lewenberg's procedure, which involves (as far as we know) applying 2% minoxidil with 0.025% tretinoin (retin-A).
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What is effective autism treatment?

Frequently Asked Questions
Applied Behavior Analysis has been proven effective through published, long-term, replicated research. If appropriate, we believe that children with autism should start a quality, intensive ABA program as soon after diagnosis as possible.
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What causes alcohol abuse and dependence?

Quality Health | Alcohol Abuse and Dependence
It is not clear why some people have problems with alcohol and others do not, although experts know that alcoholism can be passed down in families (genetic link). Experts believe that alcohol problems are also caused by cultural values (such as being part of a group of people who drink a lot) and mental health issues (such as drinking as a way of coping with stress or problems). Addiction to alcohol is not a sign of weakness and does not mean you lack willpower.
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What are the signs of alcohol abuse and dependence?

Quality Health | Alcohol Abuse and Dependence
You have been in situations where you could have been hurt or could have hurt someone else because of your drinking, such as driving while intoxicated. You might be dependent on alcohol if you have had three or more of the following problems in the last year: You need to drink much more than you once did to get the same effect. Or when you drink the usual amount, the effect is less than before.
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How is Campral different from other medicines for alcohol dependence?

Campral: Healthcare Professionals - Patient FAQS
Campral is the first new medical treatment approved for alcoholism in in a decade. It works differently from other treatments. Antabuse (disulfiram) works by making you nauseous when you drink. ReVia (naltrexone) reduces the pleasure of drinking. Campral helps reduce both the physical and emotional discomfort (e.g. sweating, anxiety, sleep disturbances) many people feel in the weeks and months after they've stopped drinking.
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Question 5. How effective is treatment?

FAQ - FAQ ON GENETIC HAEMOCHROMATOSIS
While regular taking of blood will allow the body's iron stores to return to normal, it will not cure some severe conditions if these have already been triggered by the high iron levels. These include diabetes mellitus and cirrhosis of the liver. This indicates the importance of early detection so treatment can be commenced before serious, complicating illnesses occur.
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Question: What classes of interventions are suitable for this program?

Frequently Asked Questions
Answer: Proposed interventions can be pharmaceuticals, nutraceuticals, foods, diets, dietary supplements, plant extracts, hormones, peptides, amino acids, chelators, redox agents, or other agents or mixtures of agents. Priority consideration will be given to the interventions that are easily obtainable, reasonably priced, and can be delivered in the diet or water.
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Question: Who selects which interventions to be tested each year?

Frequently Asked Questions
Answer: The ITP has an Access Committee that evaluates each application and discusses possible changes and improvements with the sponsor of the proposed intervention. The Access Committee selects approximately five proposals each year for final approval by the ITP Steering Committee.
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What is the difference between a tolerance to alcohol and a dependence on alcohol?

Frequently Asked Questions: Victorian Drug Services - Victor...
A tolerance to alcohol and a dependence on alcohol are very different things. When someone develops a tolerance to alcohol, it means they will have to consume more alcohol to feel the same effects that they used to have with lower amounts of alcohol. Anyone can develop a tolerance for alcohol. When someone develops a dependence on alcohol, they often feel as though they need alcohol and find it very difficult to stop or reduce drinking.
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Are residential treatment facilities available for alcohol or drug treatment?

Alcohol and Drug Frequently Asked Questions
Answer: Residential treatment facilities are available but space is limited. Clients are often placed on waiting lists. To find out more about residential treatment facilities, you can contact our administrative office at (805) 681-5440 or search our website.
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