Alcoholism is a chronic, often progressive disease. A person with alcoholism typically craves alcohol and drinks despite repeated alcohol-related problems, such as multiple drunk-driving violations, job loss, or relationship problems. Alcoholism involves a physical dependence on alcohol, but other factors include genetic, psychological, and cultural influences.
Alcoholism is characterized by cravings for alcohol and an inability to stop drinking. It is accompanied by a physical dependence (meaning that the person experiences withdrawal symptoms when not drinking) and an increased tolerance for alcohol (meaning the person needs to drink greater amounts to feel "good"). Before entering recovery, most alcoholics deny they have a problem. People who abuse alcohol, but are not dependent on it, may have similar symptoms, but they do not feel the same craving to drink and usually do not experience withdrawal symptoms.
About 17 million people in the United States abuse alcohol, and estimates suggest that more than 70 million Americans have faced alcoholism in their families. Alcohol abuse is one of the 4 most common causes of death in the U.S., and it is involved in almost half of all traffic deaths in the U.S.
Symptoms of alcoholism include:
If you have a family history of alcohol abuse, you are more likely to develop the condition than someone without a family history of alcohol abuse. Other factors that may increase your risk include:
If you have symptoms associated with alcoholism, you should see your doctor. Your doctor can help make a diagnosis and guide you in selecting an appropriate treatment or combination of therapies. Most alcoholics deny they have a problem, and they are often unlikely to seek treatment by themselves. If you suspect that a friend or a loved one has an alcohol problem, you and other friends and family members may need to convince them to seek help.
Your doctor will take a history and do a physical exam. Questions may include:
Blood tests generally are not helpful because they only show recent alcohol consumption. Your doctor may order liver function tests to see if alcohol has damaged your liver.
If you drink, do so only in moderation -- no more than 2 drinks per day for men, and no more than 1 drink per day for women.
Early intervention is important, especially with teenagers. To prevent teen drinking, consider the following:
The first and most important step in getting treatment for alcoholism is recognizing that you have a problem. Family members and close friends often convince persons with alcohol addiction to seek treatment.
Treatment and ongoing recovery must address both physical and psychological addiction, and may include inpatient treatment and/or Alcoholics Anonymous (AA). In an inpatient or residential program, the person generally stays in a hospital or center for 28 days, undergoing first detoxification (usually 4 to 7 days) and then individual and group therapy sessions that emphasize abstinence. Talk to a doctor about what is best for you or your loved one.
Your doctor may prescribe the following medications:
For alcohol withdrawal:
Benzodiazepines are tranquilizers used during the first few days of treatment to help you withdraw safely from alcohol. These drugs include:
Anticonvulsants may also help with withdrawal symptoms, and do not have the potential for abuse (as benzodiazepines do). They include:
To prevent relapse:
Naltrexone (Revia, Vivitrol): It is used in combination with counseling. It may lessen the craving for alcohol, and help prevent a return to drinking. Taking Revia or Vivitrol blocks receptors in your brain so that you do not get "high" from drinking. It is only used after detoxification, which means it is only used after you are no longer physically addicted to alcohol.
Acamprosate (Campral): May help restore the chemical balance in the brain. It is best used in combination with counseling.
Disulfiram (Antabuse): It is an older medication that discourages drinking by causing nausea, vomiting, and other unpleasant physical reactions when alcohol is used.
Because chronic use of alcohol decreases your appetite and keeps your body from absorbing vital nutrients, you may be deficient in a number of vitamins and minerals. Your doctor may tell you to take supplements while you are regaining your health. Beneficial supplements may include vitamin B complex, vitamin C, selenium, magnesium, and zinc. A combination of amino acids, such as carnitine, glutamine, and glutathione, may help reduce cravings, blood sugar fluctuations, and stress that is related to alcohol use.
Thiamine (vitamin B1): Your doctor may prescribe a thiamine supplement during withdrawal. Heavy use of alcohol causes thiamine deficiency, which can lead to a serious brain disorder called Wernicke-Korsakoff syndrome.
People who abuse alcohol are often deficient in vitamin A. Take supplements beyond the recommended daily allowance only under a doctor's supervision. High doses of vitamin A can damage the liver, and may cause alcoholic liver disease to develop more quickly in people who drink heavily.
Some members of the alcohol recovery community recommend a heavier, nutritionally-oriented approach. This includes intravenous (IV) nutritional therapies, along with targeted amino acid supplementation, to modulate brain function. The mainstream alcoholism treatment community considers some of these approaches controversial, so make sure you work with a reputable doctor and update every member of your recovery team on the type of therapies you are using.
The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, you should take herbs with care, under the supervision of a health care provider. However, you should not use herbs alone to treat alcoholism. Counseling and peer groups such as AA are also needed.
Few studies have examined the effectiveness of specific homeopathic remedies. Professional homeopaths, however, may recommend a treatment for alcoholism based on their knowledge and clinical experience. Before prescribing a remedy, homeopaths take into account a person's constitutional type. In homeopathic terms, a person's constitution is his or her physical, emotional, and intellectual makeup. An experienced homeopath assesses all of these factors when determining the most appropriate remedy for a particular individual. Homeopathy alone should not be used to treat alcoholism, but can be a supportive therapy along with counseling and groups such as AA. The following are a few examples of remedies that an experienced homeopath might consider for symptoms related to alcohol abuse or withdrawal:
Arsenicum album: For anxiety and compulsiveness, with nausea, vomiting, and diarrhea
Nux vomica: For irritability and compulsiveness with nausea, vomiting, and constipation
Lachesis: For alcohol cravings, headaches, and difficulty swallowing
Staphysagria: For angry individuals who tend to suppress their emotions and may have been abused physically, sexually, or psychologically in the past
Cognitive behavioral therapy with a psychologist or psychiatrist is a very effective treatment approach for alcohol addiction. This type of therapy, which is geared toward changing your beliefs and thought process about drinking, can help you cope with stress and control your behavior. Talk to your doctor about finding a qualified cognitive behavioral therapist.
In some cases, acupuncture may be a useful supportive therapy for addiction. Some, but not all studies of acupuncture for the treatment of alcohol abuse have shown that it can reduce cravings and symptoms of withdrawal. However, acupuncture alone should not be used to treat alcohol addiction, but it may be used in combination with counseling and groups such as AA.
Drinking alcohol while pregnant can seriously damage the baby, causing a condition known as fetal alcohol syndrome. Fetal alcohol syndrome causes irreversible physical and mental disabilities. The only safe way to protect against damage to the baby is not to drink during pregnancy, or even if you are trying to become pregnant.
Possible complications associated with heavy alcohol use include:
In addition, long-term use of alcohol decreases life expectancy by about 15 years and puts you at significant risk for:
Relapse in alcoholism is common. Risk factors for relapse can include environment cues, any mood-altering substance, and stress. Even though alcohol abuse is a serious condition with potentially dire consequences, it is treatable. If you or someone you love has a problem, seek the help and advice of a health care professional as early as possible.
Addolorato G, Leggio L, Hopf FW, Diana M, Bonci A. Novel therapeutic strategies for alcohol and drug addiction: focus on GABA, ion channels and transcranial magnetic stimulation. Neuropsychopharmacology. 2011 Oct 26. [Epub ahead of print]
Ambrose, ML, Bowden SC, Whelan G. Thiamin treatment and working memory function of alcohol-dependent people: preliminary findings. Alcohol Clin Exp Res. 2001;25(1):112-116.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text Revision. Washington, DC: American Psychiatric Association; 2000.
Assanangkornchai S, Srisurapanont M. The treatment of alcohol dependence. Curr Opin Psychiatry. 2007 May;20(3):222-7. Review.
Carai MAM, Agabio R, Bombardelli E, et al. Potential use of medicinal plants in the treatment of alcoholism. Fitoterapia. 2000;71:538-542.
Carr G. Alcoholism: a modern Look at an ancient illness. Primary Care: Clinics in Office Practice. 2011;38(1).
Cooney JL, Cooney NL, Pilkey DT, Kranzler HR, Oncken CA. Effects of nicotine deprivation on urges to drink and smoke in alcoholic smokers. Addiction. 2003;98(7):913-921.
Correale M, Laonigro I, Altomare E, Di Biase M. Alcohol-induced cardiac disease. G Ital Cardiol (Rome). 2009;10(1):18-27.
Dager AD, Anderson BM, Stevens MC, et al. Influence of alcohol use and family history of alcoholism on neural response to alcohol cues in college drinkers. Alcohol Clin Exp Res. 2013;37 Suppl 1:E161-71.
Das UN. Essential Fatty acids - a review. Curr Pharm Biotechnol. 2006 Dec;7(6):467-82.
Ferri: Ferri's Clinical Advisor 2014. 1st ed. Philadelphia, PA: Elsevier Mosby; 2013.
Ferri M, Amato L, Davoli M. Alcoholics Anonymous and other 12-step programmes for alcohol dependence. Cochrane Database Syst Rev. 2006 Jul 19;3:CD005032. Review.
Garland EL, Gaylord SA, Boettiger CA, Howard MO. Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results of a randomized controlled pilot trial. J Psychoactive Drugs. 2010;42(2):177-92.
Hall M. Alcoholism & depression. Home Healthc Nurse. 2012;30(9):543-50.
Heilig M, Goldman D, Berrettini W, O'Brien CP. Pharmacogenetic approaches to the treatment of alcohol addiction. Nat Rev Neurosci. 2011 Oct 20;12(11):670-84.
Hillemacher T, Kahl KG, Heberlein A, Muschler MA, Eberlein C, Frieling H, Bleich S. Appetite- and volume-regulating neuropeptides: Role in treating alcohol dependence. [Review]. Curr Opin Investig Drugs. 2010;11(10):1097-106.
Kunz S, Schulz M, Lewitzky M, Driessen M, Rau H. Ear acupuncture for alcohol withdrawal in comparison with aromatherapy: a randomized-controlled trial. Alcohol Clin Exp Res. 2007 Mar;31(3):436-42.
Leone MA, Vigna-Taglianti F, Avanzi G, Brambilla R, Faggiano F. Gamma-hydroxybutyrate (GHB) for treatment of alcohol withdrawal and prevention of relapses.Cochrane Database Syst Rev. 2010 Feb 17;(2):CD006266.
Liu Q, Lawrence AJ, Liang JH. Traditional Chinese medicine for treatment of alcoholism: from ancient to modern. Am J Chin Med. 2011;39(1):1-13.
Lukas SE, Penetar D, Berko J, Vicens L, Palmer C, Mallya G, Macklin EA, Lee DY. An extract of the Chinese herbal root kudzu reduces alcohol drinking by heavy drinkers in a naturalistic setting. Alcohol Clin Exp Res. 2005 May;29(5):756-62.
Lyndall GJ, Bass NJ, McQuillin A, et al. Confirmation of prior evidence of genetic susceptibility to alcoholism in a genome-wide association study of comorbid alcoholism and bipolar disorder. Psychiatr Genet. 2011;21(6):294-306.
Lyon JE, Khan RA, Gessert CE, Larson PM, Renier CM. Treating alcohol withdrawal with oral baclofen: A randomized, double-blind, placebo-controlled trial. J Hosp Med. 2011 Oct;6(8):474-9.
Malik P, Gasser RW, Kemmler G, Moncayo R, Finkenstedt G, Kurz M, Fleischhacker WW. Low bone mineral density and impaired bone metabolism in young alcoholic patients without liver cirrhosis: a cross-sectional study. Alcohol Clin Exp Res. 2009;33(2):375-81.
Mantere O, Suominen K, Valtonen HM, et al. Concomitants of family histories of mood disorders and alcoholism in a clinical cohort of patients with bipolar I and II disorder. J Nerv Ment Dis. 2012;200(5):388-94.
Martinotti G, Andreoli S, Reina D, Di Nicola M, Ortolani I, Tedeschi D, Fanella F, Pozzi G, Iannoni E, D'Iddio S, Prof LJ. Acetyl-l-Carnitine in the treatment of anhedonia, melancholic and negative symptoms in alcohol dependent subjects. Prog Neuropsychopharmacol Biol Psychiatry. 2011;35(4):953-8.
Oh SH, Soh JR, Cha YS. Germinated brown rice extract shows a nutraceutical effect in the recovery of chronic alcohol-related symptoms. J Med Food. 2003;6(2):115-121.
Otto KC. Acupuncture and substance abuse: a synopsis, with indications for further research. Am J Addict. 2003;12(1):43-51.
Overstreet DH, Keung WM, Rezvani AH, Massi M, Lee DY. Herbal remedies for alcoholism: promises and possible pitfalls. Alcohol Clin Exp Res. 2003;27(2):177-185.
Pilowsky DJ, Keyes KM, Hasin DS. Adverse childhood events and lifetime alcohol dependence. Am J Public Health. 2009;99(2):258-63.
Procopio DO, Saba LM, Walter H, et al. Genetic markers of comorbid depression and alcoholism in women. Alcohol Clin Exp Res. 2013;37(6):896-904.
Purohit V, Abdelmalek MF, Barve S, Benevenga NJ, Halsted CH, Kaplowitz N, et al. Role of S-adenosylmethionine, folate, and betaine in the treatment of alcoholic liver disease: summary of a symposium. Am J Clin Nutr. 2007 Jul;86(1):14-24.
Rakel:Integrative Medicine. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012.
Rakel:Textbook of Family Medicine. 8th ed.Philadelphia, PA: Elsevier Saunders; 2011.
Rezvani AH, Overstreet DH, Perfumi M, Massi M. Plant derivatives in the treatment of alcohol dependency. Pharmacol Biochem Behav. 2003;75(3):593-606.
Roerecke M, Rehm J. Ischemic heart disease mortality and morbidity rates in former drinkers: a meta-analysis. Am J Epidemiol. 2011 Feb 1;173(3):245-58.
Shebek J, Rindone JP. A pilot study exploring the effect of kudzu root on the drinking habits of patients with chronic alcoholism. J Alt Compl Med. 2000;6:45-48.
Singh AK, Jiang Y, Benlhabib E, Gupta S. Herbal mixtures consisting of puerarin and either polyenylphosphatidylcholine or curcumin provide comprehensive protection against alcohol-related disorders in P rats receiving free choice water and 15% ethanol in pure water. J Med Food. 2007 Sep;10(3):526-42.
Sinha R, Fox HC, Hong KI, Hansen J, Tuit K, Kreek MJ. Effects of adrenal sensitivity, stress- and cue-induced craving, and anxiety on subsequent alcohol relapse and treatment outcomes.A rch Gen Psychiatry. 2011;68(9):942-52. doi:10.1001/archgenpsychiatry.2011.49.
Sukul NC, Ghosh S, Sinhababu SP, Sukul A. Strychnos nux-vomica extract and its ultra-high dilution reduce voluntary ethanol intake in rats. J Altern Complement Med. 2003;7(2):187-193.
Trumpler F, Oez S, Stahli P, Brenner HD, Juni P. Acupuncture for alcohol withdrawal: a randomized controlled trial. Alcohol. 2003;38(4):369-375.
Ventegodt S, Clausen B, Langhorn M, Kromann M, Andersen NJ, Merrick J. Quality of life as medicine III. A qualitative analysis of the effect of a five-day intervention with existential holistic group therapy or a quality of life course as a modern rite of passage. Scientific World J. 2004;4:124-133.
Vieten C, Astin JA, Buscemi R, Galloway GP. Development of an acceptance-based coping intervention for alcohol dependence relapse prevention. Subst Abus. 2010;31(2):108-16.
Waldron M, Bucholz KK, Lynskey MT, Madden PA, Heath AC. Alcoholism and timing of separation in parents: findings in a midwestern birth cohort. J Stud Alcohol Drugs. 2013;74(2):337-48.
Wedekind D, Herchenhein T, Kirchhainer J, Bandelow B, Falkai P, Engel K, Malchow B, Havemann-Reinecke U. Serotonergic function, substance craving, and psychopathology in detoxified alcohol-addicted males undergoing tryptophan depletion. J Psychiatr Res. 2010;44(16):1163-9.
Xu BJ, Zheng YN, Sung CK. Natural medicines for alcoholism treatment: a review.Drug Alcohol Rev. 2005 Nov;24(6):525-36.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2015 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
BACK TO TOP
Please call 24 hours a day to speak to a clinician at 513-942-9500.
If this is an emergency, please dial 911.
Click to contact us.
Please call 513-942-9500 or fill out this form to start your road to recovery.
BECKETT SPRINGS © 2017 All Rights Reserved