 This study examined the experiences of clinical pharmacists in England when discussing alcohol with patients during medication reviews. The results showed that most pharmacists did not consider alcohol as a drug and instead focused on calculating dosage and level of consumption. However, some pharmacists expressed interest in learning more about this approach and its implications for polypharmacy. The authors suggest that framing alcohol as a drug could help shift the focus away from patients with alcohol problems and towards the negative effects of alcohol on health. This approach also provides role legitimacy for pharmacists to address alcohol clinically in medication reviews which could provide one element in the formation of a new prevention paradigm. This article was authored by Mary Madden, Duncan Stewart, Thomas Mills, and others.