PT - JOURNAL ARTICLE AU - Sheryl Spithoff AU - Suzanne Turner AU - Tara Gomes AU - Diana Martins AU - Samantha Singh TI - First-line medications for alcohol use disorders among public drug plan beneficiaries in Ontario DP - 2017 May 01 TA - Canadian Family Physician PG - e277--e283 VI - 63 IP - 5 4099 - http://www.cfp.ca/content/63/5/e277.short 4100 - http://www.cfp.ca/content/63/5/e277.full SO - Can Fam Physician2017 May 01; 63 AB - Objective To examine use of first-line alcohol use disorder (AUD) medications (naltrexone and acamprosate) among public drug plan beneficiaries in the year following an AUD diagnosis.Design Retrospective population-based cohort study.Setting Ontario.Participants Individuals eligible for public drug plan benefits who had an AUD diagnosis at a hospital visit between April 1, 2011, and March 31, 2012.Main outcome measures Number of AUD medications dispensed to public drug plan beneficiaries who had a recent hospital visit with an AUD diagnosis, and number of prescriptions dispensed per person.Results A total of 10 394 Ontarians between 18 and 65 years of age were identified who had a hospital visit with an AUD diagnosis and were eligible for public drug plan benefits. The rate of AUD medications dispensed in the subsequent year was 3.56 per 1000 population (95% CI 2.51 to 4.91; n = 37). This rate did not differ significantly by sex (P = .83).Conclusion Very few public drug plan beneficiaries are dispensed first-line AUD medications in the year following an AUD diagnosis.