I have very little experience with addiction and recovery, but a patient told me that he was told it is not realistic to try to quit both narcotics and ETOH at the same time. His practitioner placed him on meds for the narc withdrawal but told him drinking "in moderation" is OK as it is not realistic to expect to quit both at the same time. This sounds absolutely ridiculous to me. I've asked a couple of MD's that work our floor and they have also said it is poor advice. I'm baffled that anyone would recommend this to an addict. Maybe it is because the pt is doing this as an outpatient and not at an inpatient facility? Any thoughts?