Alcohol withdrawal: Outpatient management: Difference between revisions

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==See Also==
==See Also==
*[[Alcohol withdrawal]]
*[[Alcohol withdrawal seizures]]
*[[Alcohol withdrawal: Inpatient management]]
*[[Delerium tremens]]


==External Links==
==External Links==

Revision as of 17:25, 15 February 2016

Management

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[1]
    • Some protocols call for higher dosing - 600 or 800mg x1
  • Similar efficacy to lorazepam in decreasing craving and anxiety[2]

See Also

External Links

References

  1. 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.
  2. 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