Alcohol Flashcards
What does CANT SSTOP stand for?
Compulsion
Awareness of hazards
Neglect of other activities
Tolerance of alcohol
Stopping causes withdrawal Stereotyped pattern of drinking Time preoccupied with alcohol Out of control usage Persistant, futile wish to cut down
What 6 criteria does ICD 10 require to diagnose alcohol dependene?
Withdrawal symptoms Neglect Continuing knowing harms Dependence Strong compulsion to drink Loss of control in alcohol behaviour
What causes alcohol withdrawal?
Rebound surge in adrenaline after being depressed
What are the symptoms of relapse?
Restlessness Anxiety Irritability Insomnia Headaches Depression Social Isolation Sweating Nausea Palpitations Muscle Tension Racing heart Tight chest Tremor
Where should acute detox be carried out and why?
Controlled environment because of Delirium tremens risk
What is used to control symptoms of acute relapse?
Lorazepam or Haloperidol Rehydration Electrolytes THIAMINE
What is the acute management of alcoholism?
Chlordiazepoxide which breaks down into diazepam.
This replaces one GABA with another
Should be given in similar dose to what they’re drinking
What non medical interventions are there?
Self Help Groups
Motivational interviewing
Psychological therapies
What does Disulfiram do
Blocks alcohol metabolism, inducing acetyaldehyde accumulation and ‘flushing’ headache, nausea, anxiety
= ANTABUSE
What does acamprosate do?
Acts on GABA to reduce cravings and thus risk of relapse
What does Naltrexone do?
Opioid receptor agonist similar to acamprosate. Usually used for opioids once off methadone.
Name the 3 drugs used in alcohol additcion
Naltrexone
Acamprosate
Disulfiram
