Alcohol
What is alcohol use disorder (AUD)?
For most adults, moderate alcohol use is probably not harmful. Your risk of developing an alcohol use disorder (AUD) depends on how much, how often, and how quickly you drink alcohol. Alcohol misuse means that drinking causes distress and harm. Over time alcohol misuse can increase your risk of AUD.
AUD can range from mild to severe, depending on the symptoms. Severe AUD is sometimes called alcoholism or alcohol dependence.
AUD is a disease that causes:
- Craving - a strong need to drink
- Loss of control - not being able to stop drinking once you've started
- Negative emotional state - feeling anxious and irritable when you are not drinking
Binge drinking is a type of alcohol misuse. It means drinking so much at once that your blood alcohol concentration (BAC) level is 0.08% or more. For a man, this usually happens after having 5 or more drinks within a few hours. For a woman, it is after about 4 or more drinks within a few hours. Not everyone who binge drinks has an AUD, but they are at higher risk for getting one.
What are the dangers of too much alcohol?Too much alcohol is dangerous. Heavy drinking can increase the risk of certain cancers. It may lead to liver diseases, such as fatty liver disease and cirrhosis. It can also cause damage to the brain and other organs. Drinking during pregnancy can harm your fetus. Alcohol also increases the risk of death from car crashes, injuries, homicide, and suicide.
How do I know if I have an alcohol use disorder (AUD)?You may have an AUD if you can answer yes to two or more of these questions:
In the past year, have you:
- Ended up drinking more or for a longer time than you had planned to?
- Wanted to cut down or stop drinking, or tried to, but couldn't?
- Spent a lot of your time drinking or recovering from drinking?
- Felt a strong need to drink?
- Found that drinking - or being sick from drinking - often interfered with your family life, job, or school?
- Kept drinking even though it was causing trouble with your family or friends?
- Given up or cut back on activities that you enjoyed just so you could drink?
- Gotten into dangerous situations while drinking or after drinking? Some examples are driving drunk and having unsafe sex.
- Kept drinking even though it was making you feel depressed or anxious? Or when it was adding to another health problem?
- Had to drink more and more to feel the effects of the alcohol?
- Had withdrawal symptoms when the alcohol was wearing off? They include trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, and sweating. In severe cases, you could have a fever, seizures, or hallucinations.
If you have any of these symptoms, your drinking may already be a cause for concern. The more symptoms you have, the more serious the problem is.
What should I do if I think that I might have an alcohol use disorder (AUD)?If you think you might have an AUD, see your health care provider for an evaluation. Your provider can help make a treatment plan, prescribe medicines, and if needed, give you treatment referrals.
NIH: National Institute on Alcohol Abuse and Alcoholism
Alcohol FDA Approved Drugs
- Use as an antiseptic for the preparation of a patient's skin prior to surgery.
- Use as an antiseptic for the preparation of a patient's skin prior to surgery.
- Use as an antiseptic for the preparation of a patient's skin prior to surgery.
- Topical treatment of lice infestations.
- Prevention of relapse to opioid dependence, following opioid detoxification.
- Treatment of alcohol dependence.
Home Remedies for Alcohol
   Before going to bed, take a B-50 Complex supplement. Drink lots of water.
Mechanism - B vitamins help break down alcoholThomasitase | November 5th, 2017
   Apply a small amount of isopropyl alcohol to a dry cotton ball or pad. Hold it up to your nose and take a few breaths. Limit to a maximum of 3 breaths ever 10 minutes.
Mechanism - isopropyl alcoholJw | November 5th, 2017
   Sage leaf (Salvia officinalis) is mixed with boiling water (1 tablespoon sage leaf) in a cup. Let cool and gargle. Do not take concentrated sage essential oil or alcohol tincture while pregnant.TimmyStymn | August 9th, 2020
Felter's Materia Medica on Alcohol
   The bark and prepared resinous exudate of Tsuga canadensis, Carriére (Abies canadensis, Michaux; Pinus canadensis, Linné). (Nat. Ord.... / ...eczema, particularly the weeping type. Internal. Pinus Canadensis, the name under which most of the alcoholic preparations pass, is mildly stimulant, antiseptic, and useful where an astringent remedy ... / ...be used where there is excessive secretion of mucus and the cough is largely precipitated by a feeble and relaxed state of the uvula and fauces. 2
   ...ronic intoxication ensues that is more fearful in its effects than that resulting from the abuse of alcoholics. Epileptoid attacks are common, physical and mental force is seriously impaired, and viri......, most marked in the integument of the hypogastrium. The French liquer Absinthe, which is a viscous alcoholic cordial, and Wermuth, a German beer, both depend upon wormwood for their activity. Therapy......estion. For this purpose it is sometimes useful in atonic dyspepsia; especially in that form due to alcoholic excesses. Large doses irritate the stomach and give rise to increased action of the heart....2
   The dried gummy exudate of Acacia Senegal, Willdenow; and of some other African species of Acacia. (Nat. Ord. Leguminosae.) Eastern Africa... / ...colored exudate, having a rather insipid and mucilaginous taste; soluble in water, but insoluble in alcohol. Preparations.1. Mucilago Acaciae, Mucilage of Acacia. Dose, 1 to 4 fluidrachms or more. 2... / ...by irritant and corrosive poisons. Acacia may be given freely and at pleasure, in the form of owder, troches, mucilage, or syrup, as desired. 2
   The dried tuberous root of Aconitum Napellus, Linné (Nat. Ord. Ranunculaceae). Mountains of Europe and Asia, and northwestern North America.... / ...olution only when extremely diluted, and then with the greatest of caution. Aconitine is soluble in alcohol, ether, and benzene; very slightly in water. Other constituents of Aconite are aconine and b... / ...approaching from the extremities to the body. Excessive sweating comes on, rapidly lowering the body temperature, dimness of vision, 2
   The fungus Amanita muscaria, Persoon; (Agaricus muscarius, Linné.) (Nat. Ord. Fungi.) An extremely poisonous fungus found in the pine forests of... / ...c opposite. Preparations.1. Tinctura Agarici, Tincture of Agaricus (Fresh fungus, 1 ounce; strong alcohol, 16 fluidounces). Dose, 1/30 drop. 2. Muscarine. Dose, 1/30 to 1/12 grain. Action and Toxico... / ...by Eclectic practitioners. Muscarine is used in atropine and belladonna poisoning, sometimes being employed in place of eserine (physostigmine). 2
   The leaves and bark of the twigs of Amygdalus Persica, Linné (Nat. Ord. Rosaceae). Native to Persia. Cultivated everywhere. Common Name: Peach... / ...m. We believe the failure of many to obtain results from amygdalus in vomiting is due to the use of alcoholic preparations instead of the infusion; and the latter is of no value unless prepared daily ... / ...For the latter the infusion or the specific medicine may be used. 2
   The fecula or starch of the seed of Zea Mays, Linné (Nat. Ord. Gramineae). (Formula: C6 H10 05). Common Name: Corn... / ...te masses, or a fine, white powder; inodorous, with a slight but characteristic taste. Insoluble in alcohol and cold water. When boiled with 15 parts of water and cooled, it yields a whitish, transluc... / ...Diluted starch paste may be used as a lenitive after other forms of irritant poisoning, and as a mucilage for the administration of medicines. 2
   ...ive, colorless or lightyellow liquid, having the taste and odor of anise. It is freely dissolved by alcohol. Dose, 1 to 5 drops on sugar. 2. Infusum Anisi, Infusion of Anise (Anise, 2 or 3 drachms;] B......ounces). Dose, 1 to 2 fluidrachms. 3. Spiritus Anisi, Spirit of Anise. Ten per cent Oil of Anise in Alcohol. Dose, 1/2 to 1 fluidrachm in hot water. 4. Aqua Anisi, Anise Water. Dose, a fluidrachms to ...2
   The fresh corm of Arisaema triphyllum, Torre (Nat. Ord. Araceae). Common in damp woods and wet situations in North and South merica. Common Names:... / ...her acid principle. Preparation. Tinctura Arisæmæ, Tincture of Arisaema (Corm, 8 ounces; Dilute Alcohol, 16 ounces). Dose, 1 to 5 drops. Only the tincture of the fresh corm is of any value. Action... / ...may be given in drop doses every half to one hour, and a throat wash of one drachm of the tincture to a half glass of water may be used freely. 2
   The dried flower-heads of Arnica montana, Linné (Nat. Ord. Compositae). A perennial of Siberia and the cooler parts of Europe; also found in... / ...lammation, with pustules and blisters, and often grave constitutional symptoms. In this respect the alcoholic preparations of the flowers are most active, and for this reason full strength preparation...2
   The root of Asclepias syriaca (Asclepias Cornuti, in the original), Decaisne (Nat. Ord. Asclepiadaceae). Common in rich soils throughout the... / ...ter principle. Preparation.Tinctura Asclepiadis Cornuti, Tincture of Asclepias Cornuti (8 ounces; Alcohol, 16 ounces). Dose, 5 to 60 drops. Action and Therapy.External. It is a common practice amo... / ...worms. The drug deserves study. The young shoots or turiones are a favorite pot-herb or greens in some sections of our country. 2
   The root of Asclepias tuberosa, Linné (Nat. Ord. Asclepiadaceae). United States and Canada. Dose, 5 to 60 grains. Common Names: Pleurisy Root,... / ...with bed-clothing, or the too copious administration of either hot or cold water with. it. Given in alcoholic preparations, in the usual small doses, it merely favors the reestablishment of natural se...2
   The unripe seed of the Avena sativa, Linné, and the farina derived from the ripened seed (Nat. Ord. Graminaceae). Probably indigenous to Sicily... / ...eal water. 2. Tinctura Avenae, Tincture of Avena. (Cover best unripe oats [in milk] with strong alcohol.) Dose, 1/2 to 2 fluidrachms. 3. Specific Medicine Avena. Dose, 1/2 to 2 fluidrachms. Specif... / ...off the habit has not been sustained. In our own experience we have utterly failed to accomplish any good with it in any form of drug habit. 2
   A balsam obtained from Toluifera Pereirae (Royle) Baillon. San Salvador in Central America; called Balsam of Peru because first exported to Europe... / ...in the air, and having a vanilla-like odor, and an acrid, bitter persistent taste. It is soluble in alcohol and chloroform. Principal Constituents. Cinnamein or benzylic cinnamate (C9 H7 (C7 H7) 02)... / ...balsam should not be used in inflammatory or febrile conditions; and its use should be discontinued if it produces gastro-intestinal irritation.2
   The bark of the root and the berries of Berberis vulgaris, Linné (Nat. Ord. Berberidaceae). Europe, Asia, and the United States. Common Names:... / ...reparation.Tinctura Berberidis Vulgaris, Tincture of Berberis Vulgaris. (Barberry Bark, 8 ounces, Alcohol 76 per cent, 16 ounces.) Dose, 5 to 60 drops. Action and Therapy.-Barberry may be used for p... / ...occasioned by the presence of calculi, small doses may be given when there is burning and soreness and excess of mucus in the urinary tract.2
Physician's Materia Medica on Alcohol
   A powerful antiseptic and germicide, also an energetic and rapid poison; used internally as an anti-emetic and a gastric and in testinal antiseptic. Locally it acts as an anesthetic and cauterant. The liquified acid is applied in full strength to cauterize or thoroughly cleanse infected wounds, followed by strongalcohol to neu tralize its devitalizing effects. Carbolated oil (10 grs. to the ounce) or a carbolated ointment of similar strength, is one of the best dress ings for burns, scalds and i3
   A compound soluble in alcohol. but not in water. Antiseptic; prescribed especially for relief of night sweats. Dose 0.6 to 2.0 Grm. (10 to 30 grs.).3
   Medicinally prescribed when the normal hydrochloric acid is de ficient in the gastric secretions as is the case in typhoid fever, in can cer of the stomach and in the gastric disturbances following alcoholic excesses. Dose of the oflicial diluted acid (10%), 0.6 to 1.6 c. c. (10 to 20 M).3
   The stimulant most often used and perhaps also most often mis used. The indication for its use is depressed cardiac action, whether due to shock or to lowered vitality. Alcoholic drinks, vinous or malt ed, serve a good purpose also in some cases in promoting appetite and aiding digestion, but they cannot be prescribed indiscriminately for these effects. As active stimulants whiskey or brandy are most e lcient; gin may be prescribed when a diuretic action is desired; brandy in small doses may rel3
   A solution in a somewhat alcoholic menstruum of Oils of Eucalyp tus and Gaultheria, Thymoi, Menthol and Benzoic and Boric Acids, together with Fluid Extract of Baptisia. A non-irritant, non-toxic antiseptic, used internally in teaspoon ful doses as a gastric or intestinal antiseptic, but more commonly in the form of spray, gargle or lotion wherever a local antiseptic action is desired. For a gargle, mix one part with one of glycerin and two to four of water; for a nasal douche, 1 part with 3 to 3
   A stimulant rather than a food; promotes appetite and increases the activity of the emunctories. Equally useful in the form of a hot broth or "tea” or combined with an alcoholic stimulant" wine. whis key or brandy.3
   Action resembles that of alcohol, but more transient; cardiac stimulant, general anesthetic. relaxant. Most commonly given by inhalation. A spray is sometimes used to produce local anesthesia by cold. Dose, 2 to 8 c. c. (30 Ill to 2 fluidrachms) or more.3
   Derivative from OIL OF TURPENTINE. A crystalline substance. soluble in alcohol but not in water, a fact to remember in prescribing. Used chiefly as a stimulant expectorant and said to be very eflicacious in hay fever. Dose, 0.06 to 0.30 Grm. (1 to 5 grs.) in hay fever; as adiuretic as much as 1 Grm. (15 grs.), three times a day.3
   Tonic, antispasnmdic, astringent. Used internally as a nerve sedative in epilepsy, hysteria, chronic alcoholism, etc.; as a remedy of unquestioned value in colliquative sweats, also in diarrhea, par ticularly of dysenteric type. Its most important use, however. is as a soothing and protecting application, in form of an ointment, to burns, scalds, ulcers, wounds, fissures, moist eruptions of the skin, etc. Dose, 0.06 to 0.50 Grm. (1 to 8 grs.).3
Physician's Therapeutics Memoranda on Alcohol
   In intervals between attacks, prescribe a simple but nourishing diet with avoidance of all forms... / ...itroglycerin in solution or hypoder matically; for more prolonged action, sodium nitrite. If blood pre - sure is not high, in place of the foregoing, alcoholic stimulants, Elixir Digitalin Compound, N., B. & Co. or compound spirit ether. Other remedies of value are antipyrin, injections of morphine ...3
   When threatened, harden skin by frequent use of astringent lotions, lead water, tannin dissolved in dilute alcohol, 2 grs. to fl. oz.; whiskey and salt (2 drachms to pint); Antiseptine diluted with wa ter or whiskey. When ulcers have formal, protect with soap plaster and use antiseptics. especially Iodosyl ointment. Sustain patient’s strength with nourishing and predigested food. Iron in form of the tincture is generally of service.3
   Distilled Extract Witch Hazel, Tincture Arnica, Glyceroplasma to reduce swelling, solution of ammonium chloride in diluted alcohol.3
   For shock, stimulants, especially Elixir Digitalin Compound: hypodermatic injections morphine and atropine. Among the best local remedies are carron oil (linseed oil and lime-water, equal parts, to which may be added 5 per cent. of carbolic acid), solution picric acid (picric acid, 37 grs.; alcohol, 1% fl. ozs.; water, (1. s. to make one pint), creosote water (to relieve pain); in less severe burns, carbolated oil (15 grs. to fl. oz.), Alkal-antiseptine, sodium carbonate in aqueous solution.3
   The most important remedies are Elixir D igitalin Compound, N., B. & Co. and atropine hypodermatically. Subcutaneous injection of saline solution; ether. digitalis, alcohol are remedies of value. See Shock.3
   Among the more eflicient remedies for local application are; Antiseptine (full strength), resorcin (20 grs. to fl. oz. of 25% alcohol). potassium arsenite (5 to 10 grs. to the pint), tar soap, applied at night and washed out in the morning.3
   Isolate the patient and watch carefully all children who may have been exposed. In every case... / ...er’s solution (menthol, 100 grs. dissolved in 6 fluidrachms toluol, with addition of 40 minims solution ferric chloride and 10 fluidrachms absolute alcohol) is preferred by some. As tonics, tincture ferric chloride, quinine and strychnine are of service, and strength must be maintained by fluid or...3
   Bromine is the most e lcient escharotic; chromic acid and nitric acid are often used. Carbolic acid applied in full strength, followed by alcohol to limit its action, with subsequent dressing with Iodosyl has given excellent results. For cleansing, hydrogen peroxide is eflicient. Ichthyol and boric acid may be used in dressing, but Iodosyl is better. Internally guaiacol and creosote to guard against p yemia.3
   In acute attacks prescribe colchicum, pushing the remedy to its full effect; morphine... / ...rly lithia water; potassium iodide; local application of alka line lotions, tincture iodine or oil peppermint. Indigestible and stimu lating food and alcoholic drinks must be prohibited. In Sub-acute and Chronic Gout, potassium iodide, arsenic and free use of lithia wa ter or of Effervescent Tablets...3
   In organic diseases of the heart. remedies must be adapted to symptoms presented. Digitalis and similar agents are to be used when increase of blood pressure is... / ...ises from debility, general tonics are indicated, particularly nux vomica and iron. In cardiac failure, use diffusible stimulants, ammonia, ether and alcohol.3
   Apply a saturated solution of lead acetate in diluted alcohol; solution of ammonium chloride, two drachms to the pint; sodium bi carbonate; ichthyol; fluid extract grindelia (soluble) dilutexl with 5 to 10 parts of water.3
   In acute stage eontrol arterial excitement with veratrum or aconite, prescribing also calomel and opium for antiphlogistic and calmative effect. Apply cold to head and leeches to nape of neck. Later control nervous irritability with chloral and bromides and sustain strength by nourishing food with alcohol if indicated.3
   Special care must be taken to avoid exposure to cold. Alcohol must be interdicted and the diet must be carefully regulated so as to throw as little burden as possible on the kidneys. Albumin may often be diminished by nitro-glycerine, sometimes by cantharides. As diuretics, digitalis, squill and calomel, digitalis and caffeine or juniper berries and potassium bitartrate have their uses.3
   General treatment for Inflammation, q. v.; aconite; calomel and opium of special importance; for heart failure caffeine and alcohol are safer than digitalis, whose effects must be carefully watched. If ef fusion occurs, use hydragogues or aspirate.3
   Only at the very outset are arterial sedatives useful, veratrum being... / ... When consolidation has begun, pyrexia is to be combat ed by cold sponging, while the action of the heart is reinforced if necessary by digitalis and alcoholic stimulants. Elixir Digitalin Compound, N., B. & Co., is often useful. Strychnine and atropine hypodermatically are important remedies if cya... / ...combined sometimes with the more stimulant am monium carbonate.3
References
2) Felter, Harvey Wickes, 1922, The Eclectic Materia Medica, Pharmacology and Therapeutics, Cincinnati, Ohio.
3) Nelson, Baker & Co., 1904, Physician's Handy Book of Materia Medica and Therapeustics, Detroit, Michigan.
