What do you have to do to get better insights into these guidelines from Dr. Asif Qureshi?
First, go through the substance use disorder (SUD) guidelines by Dr. Asif Qureshi.
Focus in particular on the mentioned questions.
What 10 separate classes of drugs does the DSM-5-TR recognize relevant to substance-related and addictive disorders?
https://www.qureshiuniversity.com/sud.html
Alcohol use disorder: What is it?
Alcohol use disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use despite adverse social, occupational, and/or health consequences.
Alcohol use disorder can be mild, moderate, or severe. People with alcohol use disorder will continue to drink even when drinking causes negative consequences, like losing a job or destroying relationships with people they love.
Alcohol use disorder: What causes it?
The cause of alcohol use disorder is still unknown. Alcohol use disorder develops when you drink so much that chemical changes in the brain occur. These changes increase the pleasurable feelings you get when you drink alcohol. This makes you want to drink more often, even if it causes harm.
How can you prevent alcohol use disorder?
Abstinence is the best option.
What are 10 examples of alcoholic drinks?
1. Beer
2. Port wine
3. Whiskey
4. Brandy
5. Rum
6. Gin
7. Vermouth
8. Cognac
9. Vodka
10. Cider
What is considered one drink?
The National Institute on Alcohol Abuse and Alcoholism defines one standard drink as any one of these:
12 ounces (355 milliliters) of regular beer (about 5% alcohol)
8 to 9 ounces (237 to 266 milliliters) of malt liquor (about 7% alcohol)
5 ounces (148 milliliters) of wine (about 12% alcohol)
1.5 ounces (44 milliliters) of hard liquor or distilled spirits (about 40% alcohol)
What is the alcohol percentage in one alcoholic drink?
Alcohol percentage in alcoholic drinks.
Vodka | ABV: 40-95%
Gin | ABV: 36-50%
Rum | ABV: 36-50%
Whiskey | ABV: 36-50%
Tequila | ABV: 50-51%
Liqueurs | ABV: 15%
Fortified Wine | ABV: 16-24%
Unfortified Wine | ABV: 14-16%
Beer | ABV: 4-8%
Malt Beverage | ABV: 15%
What is hard liquor?
In practical terms, the term hard liquor refers to an alcoholic beverage that is produced through the distillation (careful boiling and condensation) of grains, fruit, or vegetables that have already been fermented (converting sugars like glucose and fructose into cellular energy, which creates ethanol as a byproduct).
What are the three types of alcohol?
The only type of alcohol that humans can safely drink is ethanol. We use the other two types of alcohol for cleaning and manufacturing, not for making drinks. For example, methanol (or methyl alcohol) is a component in fuel for cars and boats. It is also used to manufacture antifreeze, paint remover, windshield wiper fluid, and many other products. Isopropanol (or isopropyl alcohol) is the chemical name of rubbing alcohol, which we use for cleaning and disinfecting. Both methanol and isopropanol are poisonous to humans because our bodies metabolize them as toxic substances that cause liver failure. Drinking even a small amount of methanol or rubbing alcohol can be fatal.
What are the various blood alcohol concentrations and their acute effects?
Ethanol's acute effects are largely due to its nature as a central nervous system depressant and are dependent on blood alcohol concentrations:
20–99 mg/dL - Impaired coordination and euphoria
100–199 mg/dL - Ataxia, poor judgment, labile mood
200–299 mg/dL - Marked ataxia, slurred speech, poor judgment, labile mood, nausea and vomiting
300–399 mg/dL - Stage 1 anesthesia, memory lapse, labile mood
400+ mg/dL - Respiratory failure, coma
What do the statistics reveal?
Alcohol Use Disorder (AUD) in the United States:
The statistics vary from year to year.
Adults (ages 18+): According to the 2019 National Survey on Drug Use and Health (NSDUH), 14.1 million adults in the United States, ages 18 and older, had alcohol use disorder (AUD).
Youth ages 12 to 17: According to the 2019 National Survey on Drug Use and Health (NSDUH), an estimated 414,000 adolescents ages 12–17 had alcohol use disorder (AUD).
United States
Prevalence of Drinking: According to the 2019 National Survey on Drug Use and Health (NSDUH), 85.6% of people ages 18 or older reported that they drank alcohol at some point in their lifetime, 69.5% reported that they drank in the past year, and 54.9% reported that they drank in the past month.
What further questions need to be discussed?
What are the medical complications?
What are the medical complications of alcohol use disorder?
What are the social complications or impact on your safety?
What are the social complications of alcohol use disorder or impact on your safety?
What is blood alcohol concentration?
What is the Illinois blood alcohol concentration limit?
What are various alcohol-related offenses?
What is upper limit for blood alcohol levels when driving?
What is considered alcohol intoxication?
What is considered alcohol poisoning?
What is alcoholism?
What is the treatment?
Alcohol use disorder: What are the symptoms?
What are the risk factors?
What is another word or term for alcoholism?
Do you need to drink more in order to feel the effects of alcohol?
Do you feel guilty about drinking?
Do you become irritable or violent when you drink?
Do you have problems at school or work because of drinking?
Do you think it might be better if you cut back on your drinking?
What is the outlook for a person with alcohol use disorder?
What are the signs of being drunk?
Alcohol poisoning: What causes it?
What are the complications of alcohol poisoning?
What is the treatment for alcohol poisoning?
What is the treatment?
Online alcohol use disorder treatment
How do you eliminate alcohol cravings to enable you to lower your consumption or stop drinking alcohol, all from the comfort of your home?
Why is inpatient rehab not acceptable to most?
Inpatient rehab is expensive.
There is a lack of personalization.
There is a lack of privacy.
Most inpatient rehab programs last between 30 and 90 days.
Various individuals are uncomfortable with this.
How do you track your progress online?
Monitor yourself if you have mild, moderate, or severe alcohol use disorder.
If you have medical complications from alcohol use disorder, ask others around you to monitor these issues for you. Focus on reducing the severity from severe to moderate, moderate to mild, and mild to one drink per week or abstinence from alcohol
If Dr. Asif Qureshi could live without suffering from substance use disorder or alcohol use disorder, you can too.
What is the treatment?
1. Make a treatment plan following the suggestions provided here. This can include setting goals, adopting behavior change techniques, using self-help guidelines, and following up on your efforts. This can be done through the internet.
Here are statistics relevant to alcohol use disorder in the United States.
The statistics vary from year to year.
Adults (ages 18+): According to the 2019 National Survey on Drug Use and Health (NSDUH), 14.1 million adults ages 18 and older had alcohol use disorder (AUD).
Youth ages 12 to 17: According to the 2019 National Survey on Drug Use and Health (NSDUH), an estimated 414,000 adolescents ages 12–17 had alcohol use disorder (AUD).
Make sure Medicaid and Medicare, as well as similar state and central or federal government entities, reimburse Dr. Asif Qureshi for these executive research questions and answers and guidelines.
Worldwide, the harmful use of alcohol results in 3 million deaths every year.
Make sure the World Health Organization is reminded to reimburse Dr. Asif Qureshi for these executive research questions and answers and guidelines.
https://www.who.int/news-room/fact-sheets/detail/alcohol
2. Counseling for alcohol use disorder. Read the questions that Dr. Asif Qureshi has authored relevant to this issue. This is part of the counseling for alcohol use disorder. Discuss these questions with others.
3. Detox and withdrawal
4. Oral medications. A) Disulfiram B) Naltrexone.
Disulfiram, naltrexone, and acamprosate
5. Injected medication. Vivitrol, a version of the drug naltrexone, is injected once a month by a healthcare professional.
6. Continuing support
7. Treatment for other associated medical conditions
8. Treatment for other alcohol-related medical problems and/or complications
9. Spiritual activities
What types of spiritual activities?
This is debatable.
Currently, 3 medications are approved by the U.S. Food and Drug Administration (FDA) for the treatment of AUD: acamprosate, naltrexone, and disulfiram.
Gabapentin and topiramate are additional evidence-based options for treatment. All of these medications are available in oral formulations, and naltrexone is also available in an extended-release (XR) formulation for intramuscular injection.
Alcohol use disorders are the most prevalent of all substance use disorders worldwide. The single year prevalence has been estimated to be over 100 million individuals globally. In addition, nearly 3 million deaths (5.3% of all deaths globally) have been attributed to alcohol-related mortality in a single year.
Which form of naltrexone is best for you: the tablet form or injectable form?
The answer to this question depends on the alcohol use assessment.
The first step is taking an online alcohol use assessment on the Oar website. The website displays: “can't reach this page. www.oarrx.com took too long to respond.”
Here are further guidelines from Dr. Asif Qureshi.
First, determine if the person has mild, moderate, or severe alcohol use disorder.
1. Mild: Counseling for alcohol use disorder. Read the questions that Dr. Asif Qureshi has authored relevant to this issue. This is part of the counseling for alcohol use disorder. Discuss these questions with others. For individuals with mild alcohol use disorder, clinicians may consider pharmacologic treatment with oral acamprosate or oral naltrexone.
2. Moderate: Oral Medication
3. Severe: Vivitrol (naltrexone) injectable
Further public debate is required.
Naltrexone
Naltrexone: What is it?
Naltrexone is a prescription medication used to treat alcohol use disorder and opioid use disorder. It helps you stop using these substances and remain off them.
What class of drug is naltrexone?
Naltrexone belongs to a class of drugs known as opioid antagonists.
What is the dosage of naltrexone tablets?
Naltrexone tablets are approved to treat opioid or alcohol dependence. The dosage for naltrexone tablets is usually 50 mg taken by mouth once per day.
How often is vivitrol (a version of the drug naltrexone) injected for a person with alcohol use disorder?
Vivitrol is injected by a healthcare provider one time each month.
Vivitrol is given as an injection into a muscle in your buttocks using a special needle that comes with it.
Vivitrol (naltrexone) is used to treat two substance use disorders: opioid use disorder and alcohol use disorder. Vivitrol is an injectable prescription medicine. Before starting vivitrol, you should not take any opioids for at least 7 to 10 days. This is to prevent withdrawal symptoms, which can happen if you have recently taken opioids and then take vivitrol. In some cases, withdrawal symptoms can be serious and may require hospitalization. It is important to tell your doctor when you last took an opioid medication so that they can determine when you should start taking vivitrol.
Long-term treatment
Vivitrol is meant to be used as a long-term treatment. If you and your doctor determine that vivitrol is safe and effective for you, you will likely take it for the long term.
When was vivitrol (naltrexone) approved by the U.S. Food and Drug Administration?
Vivitrol was first approved by the U.S. Food and Drug Administration in 2006.
Where can you get more details about vivitrol (naltrexone)?
https://www.drugs.com/vivitrol.html
If you need further details about medications approved for use in the treatment of alcohol use disorder, see the manual from the National Institute of Alcohol Abuse and Alcoholism https://store.samhsa.gov/sites/default/files/sma15-4907.pdf. The manual was not in an executive research question-and-answer format the way Dr. Asif Qureshi had displayed on or before January 25, 2024.
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