A 45-year-old man drinks 6 beers nightly and has failed repeated attempts to cut down. He has cravings but no withdrawal seizures. AST and ALT are

Question

A 45-year-old man drinks 6 beers nightly and has failed repeated attempts to cut down. He has cravings but no withdrawal seizures. AST and ALT are normal. He takes no opioids. Which of the following is the most appropriate next step in management?

Accepted Answer

Start naltrexone with counseling

Answer

Schedule liver transplant evaluation

Answer

Prescribe long-term lorazepam for relapse prevention

Answer

Recommend vitamin C as pharmacotherapy

Answer

Start methadone for alcohol cravings

Alcohol use disorder — USMLE Step 3 MCQ

A 45-year-old man drinks 6 beers nightly and has failed repeated attempts to cut down. He has cravings but no withdrawal seizures. AST and ALT are normal. He takes no opioids. Which of the following is the most appropriate next step in management?