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  1. If 3 or more PRN doses are needed in 24 hours, the reducing dose regimen should be reviewed. Standard detox reduces the benzodiazepine dose over 5 – 7 days, as short-term treatment minimises risk of dependence. However, severely dependent patients may need to be treated for longer (up to 2 weeks).

  2. The typical dose is two 333 mg tablets three times a day, with lower recommended doses for patients with renal impairment. Multiple meta-analyses have found acamprosate to reduce alcohol consumption compared to placebo.

  3. 3 wrz 2024 · Additionally, in individuals with a body weight <60 kg we typically initiate treatment at a lower dose (eg, 333 mg twice daily). Efficacy – Meta-analyses have shown that acamprosate is effective in maintaining abstinence in individuals with alcohol use disorder who were recently withdrawn from alcohol use [ 4-6 ].

  4. 13 sie 2024 · The inpatient management of syndromes associated with moderate and severe alcohol withdrawal is reviewed here. The ambulatory management of mild alcohol withdrawal, the initial diagnosis and treatment of alcohol use disorder, and specific conditions due to alcohol-related organ damage (eg, cirrhosis, pancreatitis) are discussed separately.

  5. 20 maj 2020 · The FDA has approved three medications for alcohol use disorder: naltrexone, acamprosate, and disulfiram. Additionally, other medications including gabapentin, baclofen, topiramate, and ondansetron show promise off-label for treating alcohol use disorder.

  6. Treatment: IV Pabrinex: Required if patient: i) vomiting / is malnourished or at risk of malnourishment. ii)is at risk of decompensated liver disease. Dose: IV Pabrinex 2 pairs of (no 1 and 2) (20mls), then 8 hourly until oral intake adequate, for up to 3 days then switch to oral thiamine.

  7. The dose is gradually reduced over 5-7 days, until detox completion. The aim is to keep CIWA score below 10 to treat symptoms comfortably without causing any marked CNS depression.

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