Drug And Alcohol

Question 1

Alcohol cessation

Answer 1

Diazepam 20mg every 2hr upto 60mg/d
Thiamine 300mg im/iv 3-5 days then oral

Naltrexone 50mg PO daily
Acamprosate 666mg PO tds
Disulfiram 100mg/d oral

Question 2

Alcohol qeustions

Answer 2

C - felt you need to cut down on drinking
A - annoyed by ppl criticising your alcohol drinking
G - guilty about drinking
E - eye-opener first thing in to the morning

Question 3

Smoking cessation

Answer 3

Nicotine patch 21mcg/24hr
+ gum 4mg 1~2hr up to 10 pieces in 24hr
Varenicline 0.5mg/d for 3 days then 1mg bd
Bupropion 150mg/d 3 days then bd

Question 4

Smoking interview

Answer 4

5As
Ask - identify smokers
Assess - readiness and motivation
Advise - risks and benefit 
Assist - meds
Arrange - follow up