Maher
Karam-Hage, M.D.
Director, Medications Development
and Testing
Dr.
Karam-Hage is an assistant professor of
psychiatry at the University of Michigan
Medical School. He also serves as Medical
Director and Director of Medical Education
of Chelsea Arbor Treatment Center, a joint
venture of the University of Michigan
Health System and Chelsea Community Hospital
which offers treatment to people with
alcohol and other drug problems.
Dr.
Karam-Hage graduated from the University
of Michigan's psychiatry residency program
in 1998 and did two years of clinical/research
fellowship in addiction psychiatry with
the guidance of Dr. Kirk Brower. Dr. Karam-Hage
is the recipient of the American College
of Neuropsychopharmacology (ACNP) research
fellowship award of 1998.
Dr.
Karam-Hage is focusing his research on
the benefits from smoking cessation on
the early recovery from alcohol (between
one month and 12 months of abstinence).
Knowing that smoking is still a common
problem with devastating consequences
to the general population and in particular
to alcohol-dependent patients since it
is of higher prevalence (70-80% of alcoholics
are smokers). During the last 10 years,
published prospective trials have linked
quitting (vs. smoking) cigarettes to reduced
relapse rates in treated alcoholic and
other patients with substance use disorders.
Existing data correlate smoking with both
higher cravings for alcohol/other substances
and relapse. Smoking in addition to alcohol
seems to cause not only additional health
problems but multiplicative and in some
cases exponential increase in risk for
disease. Alcoholics are known to be heavy
smokers and alcoholic smokers seem to
have greater severity of alcohol dependence
than ex- or never-smokers. If smoking
cessation proves to be successful in reducing
relapse rates to alcohol, then a prevalent
subset of alcoholics-smokers may personally
benefit and costs to society may decrease.
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