Alcohol Use Flashcards
1
Q
Alcohol Problematic Use Treatment
A
Nutritional support
SIGN recommends alcoholic patients should receive oral thiamine if their ‘diet may be deficient’
Drugs used
benzodiazepines for acute withdrawal
disulfram: promotes abstinence - alcohol intake causes severe reaction due to inhibition of acetaldehyde dehydrogenase. Patients should be aware that even small amounts of alcohol (e.g. In perfumes, foods, mouthwashes) can produce severe symptoms. Contraindications include ischaemic heart disease and psychosis
acamprosate: reduces craving, known to be a weak antagonist of NMDA receptors, improves abstinence in placebo controlled trials
