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Excessive alcohol use is the third leading cause of preventable death in the United States. Preventive Services Task Force USPSTF recommends screening adults for alcohol misuse and providing persons engaged in risky or hazardous drinking behaviors with brief behavioral counseling to reduce alcohol misuse. Patients with AUD are at risk of alcohol withdrawal and may require medical management for withdrawal before initiating treatment. Most studies of medications for AUD also include counseling, so it is difficult to assess medication effects without counseling. No medications are approved for the treatment of AUD in adolescents younger than 18 years; therefore, these patients should be referred for subspecialist treatment.

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