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In severe alcohol-associated hepatitis complicated by renal dysfunction or prolonged hospitalization, do you start medications for alcohol use disorder during the admission or defer until medical stabilization?

What factors make you worry that delayed initiation will worsen early return to drinking?
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In your practice, do you start medication for alcohol use disorder during an index admission?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Hepatology · Northwestern Memorial Hospital
Answered on

In this scenario, the priority is to understand what the patient's future will be. It may be a transplant, discharge home from a rehab facility, possibly need for dialysis, or even palliative care. Regardless, I would defer until medical stabilization.

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