Advise patients to abstain from alcohol under certain conditions:
when pregnant or considering pregnancy
when taking a medication that interacts with alcohol
if alcohol dependent
if a contraindicated medical condition is present (e.g., ulcer, liver disease)
If a patient is at risk for coronary heart disease, discuss the potential benefits and risks of alcohol use:
Light to moderate drinking is associated with lower rates of coronary heart disease in certain populations . Infrequent or nondrinkers are not advised to begin a regimen of light to moderate drinking to reduce the risk of coronary heart disease because vulnerability to alcohol-related problems cannot always be predicted. Similar protective effects can likely be achieved through proper diet and exercise.