Alcohol withdrawal: Outpatient management: Difference between revisions

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==Management==
#REDIRECT [[Ethanol withdrawal]]
===[[Chlordiazepoxide]]===
'''Generally for outpatient treatment of mild cases and as a taper'''
*25-50mg of chlordiazepoxide is equivalent to 10mg of diazepam
*50mg of chlordiazepoxide every 8 hours for two days, thel decrease to 25mg every 8 hours for another two days followed by 25mg PRN as needed.
 
===Anticonvulsants===
*[[Gabapentin]] 400mg PO TID<ref>Leung JG, Hall-Flavin D, Nelson S, et al. The role of gabapentin in the management of alcohol withdrawal and dependence. Ann Pharmacother. 2015; 49(8):897-906.</ref>
**Some protocols call for higher dosing - 600 or 800mg x1
*Similar efficacy to lorazepam in decreasing craving and anxiety<ref>Myrick, H et al. A double-blind trial of gabapentin versus lorazepam in the treatment of alcohol withdrawal. Alcohol Clin Exp Res. 2009 Sep;33(9):1582-8.  PMID: 19485969</ref>
 
====Example outpatient [[lorazepam]] taper====
*2 mg tid x3 days
*2 mg bid on day 4
*2 mg once on day 5
 
====Example outpatient [[gabapentin]] taper====
''Similar in efficacy to lorazepam according to one RCT<ref>Myrick et al. A DOUBLE BLIND TRIAL OF GABAPENTIN VS. LORAZEPAM IN THE TREATMENT OF ALCOHOL WITHDRAWAL. Alcohol Clin Exp Res. 2009 Sep; 33(9): 1582–1588. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769515/</ref>''
*400 mg tid x3 days
*300 mg bid on day 4
*300 mg once on day 5
 
==See Also==
*[[Beer Potomania Syndrome]]
*[[Alcohol (ETOH) Intoxication]]
*[[Alcoholic ketoacidosis]]
*[[Alcohol withdrawal]]
*[[Alcohol withdrawal: Inpatient management]]
*[[Alcohol withdrawal: Outpatient management]]
*[[Alcohol withdrawal seizures]]
*[[Altered mental status]]
*[[Delerium tremens]]
*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]
*[[Sedative/Hypnotic]]
*[[Wernicke-Korsakoff Syndrome]]
 
==External Links==
 
==References==
<references/>

Latest revision as of 22:10, 30 July 2025

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