A 52-year-old man drinks 6-8 beers daily and meets criteria for moderate alcohol use disorder. He has no cirrhosis or opioid use and normal liver enzy...

Question

A 52-year-old man drinks 6-8 beers daily and meets criteria for moderate alcohol use disorder. He has no cirrhosis or opioid use and normal liver enzymes. He is motivated to cut down. According to Canadian and international guidance, which pharmacologic option is appropriate first-line to reduce heavy drinking?

Accepted Answer

Naltrexone as part of a comprehensive treatment plan.

Answer

Disulfiram as first-line without supervision.

Answer

High-dose benzodiazepines for long-term craving control.

Answer

Antipsychotics to reduce craving.

Answer

No pharmacologic therapy; counselling is ineffective.

ca-mccqe1 MCQ (SBA): Alcohol use disorder