Ethanol withdrawal - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:06:00Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Older revision		Revision as of 15:06, 21 March 2026
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	*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]		*[[EBQ:Outpatient use of benzodiazepines for the treatment of acute alcohol withdrawal]]
	*[[Sedative/Hypnotic]]		*[[Sedative/Hypnotic]]

			== Calculators ==
			{{CIWA_Calculator}}

	==External Links==		==External Links==
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	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 CIWA-Ar Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{CIWA_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Psychiatry]][[Category:Toxicology]]		[[Category:Psychiatry]][[Category:Toxicology]]

Danbot: Add CIWA-Ar calculator (collapsible)

2026-03-21T13:51:30Z

Add CIWA-Ar calculator (collapsible)

← Older revision		Revision as of 13:51, 21 March 2026
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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 CIWA-Ar Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{CIWA_Calculator}}
			</div>
			</div>
	[[Category:Psychiatry]][[Category:Toxicology]]		[[Category:Psychiatry]][[Category:Toxicology]]

Danbot: Add MedicationDose SMW annotations (10 entries: diazepam, lorazepam, propofol, phenobarbital, dexmedetomidine, ketamine, chlordiazepoxide, gabapentin, carbamazepine, thiamine); dosing verified

2026-03-20T16:17:14Z

Add MedicationDose SMW annotations (10 entries: diazepam, lorazepam, propofol, phenobarbital, dexmedetomidine, ketamine, chlordiazepoxide, gabapentin, carbamazepine, thiamine); dosing verified

@@ Line 119: / Line 119: @@
 **History of head injury, epilepsy, medical instability, ECG abnormality, grossly abnormal lab value
 ==See Also==
 *[[Beer Potomania Syndrome]]

Rossdonaldson1: Rossdonaldson1 moved page Alcohol withdrawal to Ethanol withdrawal

2025-07-30T22:08:32Z

Rossdonaldson1 moved page Alcohol withdrawal to Ethanol withdrawal

← Older revision	Revision as of 22:08, 30 July 2025
(No difference)

Ostermayer: /* Anticonvulsants */

2023-04-16T03:50:04Z

Anticonvulsants

← Older revision		Revision as of 03:50, 16 April 2023
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	*Have less abuse potential but may not prevent seizures<ref>Muncie HL et al. Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician. 2013 Nov 1;88(9):589-595.</ref>		*Have less abuse potential but may not prevent seizures<ref>Muncie HL et al. Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician. 2013 Nov 1;88(9):589-595.</ref>
	*[[Gabapentin]] 400mg PO TID x 4 days<ref>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.</ref>		*[[Gabapentin]] 400mg PO TID x 4 days<ref>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.</ref>
	**Some protocols call for higher dosing - 1200 mg (400 mg t.i.d.) of gabapentin for three days then ~~400~~ mg (~~200~~ mg b.i.d.) for day 4 <ref>Myrick, H et al. A double blind trial of gaba pentin vs lorazepam in the treatment of alcohol withdrawl.		**Some protocols call for higher dosing - 1200 mg (400 mg t.i.d.) of gabapentin for three days then 800 mg (400 mg b.i.d.) for day 4 <ref>Myrick, H et al. A double blind trial of gaba pentin vs lorazepam in the treatment of alcohol withdrawl.
	Alcohol Clin Exp Res. 2009 Sep; 33(9): 1582–1588. PMID: 19485969</ref>		Alcohol Clin Exp Res. 2009 Sep; 33(9): 1582–1588. PMID: 19485969</ref>
	**Similar efficacy to lorazepam in decreasing craving and anxiety<ref>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</ref>		**Similar efficacy to lorazepam in decreasing craving and anxiety<ref>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</ref>

Ostermayer: /* Anticonvulsants */

2023-04-16T03:46:56Z

Anticonvulsants

← Older revision		Revision as of 03:46, 16 April 2023
Line 62:		Line 62:
	*Have less abuse potential but may not prevent seizures<ref>Muncie HL et al. Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician. 2013 Nov 1;88(9):589-595.</ref>		*Have less abuse potential but may not prevent seizures<ref>Muncie HL et al. Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician. 2013 Nov 1;88(9):589-595.</ref>
	*[[Gabapentin]] 400mg PO TID x 4 days<ref>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.</ref>		*[[Gabapentin]] 400mg PO TID x 4 days<ref>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.</ref>
	**Some protocols call for higher dosing - 1200 mg (400 mg t.i.d.) of gabapentin for three days 400 mg (200 mg b.i.d.) for day 4 <ref>Myrick, H et al. A double blind trial of gaba pentin vs lorazepam in the treatment of alcohol withdrawl.		**Some protocols call for higher dosing - 1200 mg (400 mg t.i.d.) of gabapentin for three days then 400 mg (200 mg b.i.d.) for day 4 <ref>Myrick, H et al. A double blind trial of gaba pentin vs lorazepam in the treatment of alcohol withdrawl.
	Alcohol Clin Exp Res. 2009 Sep; 33(9): 1582–1588. PMID: 19485969</ref>		Alcohol Clin Exp Res. 2009 Sep; 33(9): 1582–1588. PMID: 19485969</ref>
	**Similar efficacy to lorazepam in decreasing craving and anxiety<ref>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</ref>		**Similar efficacy to lorazepam in decreasing craving and anxiety<ref>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</ref>

Ostermayer: /* Anticonvulsants */

2023-04-16T03:45:27Z

Anticonvulsants

← Older revision		Revision as of 03:45, 16 April 2023
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	===[[Anticonvulsants]]===		===[[Anticonvulsants]]===
	*Have less abuse potential but may not prevent seizures<ref>Muncie HL et al. Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician. 2013 Nov 1;88(9):589-595.</ref>		*Have less abuse potential but may not prevent seizures<ref>Muncie HL et al. Outpatient Management of Alcohol Withdrawal Syndrome. Am Fam Physician. 2013 Nov 1;88(9):589-595.</ref>
	*[[Gabapentin]] 400mg PO TID<ref>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.</ref>		*[[Gabapentin]] 400mg PO TID x 4 days<ref>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.</ref>
	**Some protocols call for higher dosing - ~~600 or 800mg x1~~		**Some protocols call for higher dosing - 1200 mg (400 mg t.i.d.) of gabapentin for three days 400 mg (200 mg b.i.d.) for day 4 <ref>Myrick, H et al. A double blind trial of gaba pentin vs lorazepam in the treatment of alcohol withdrawl.
			Alcohol Clin Exp Res. 2009 Sep; 33(9): 1582–1588. PMID: 19485969</ref>
	**Similar efficacy to lorazepam in decreasing craving and anxiety<ref>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</ref>		**Similar efficacy to lorazepam in decreasing craving and anxiety<ref>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</ref>
	**Questionable efficacy in preventing alcohol withdrawal seizures		**Questionable efficacy in preventing alcohol withdrawal seizures

Dhsieh: /* Chlordiazepoxide */

2022-06-06T15:25:24Z

Chlordiazepoxide

← Older revision		Revision as of 15:25, 6 June 2022
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	'''Generally for outpatient treatment of mild cases and as a taper'''		'''Generally for outpatient treatment of mild cases and as a taper'''
	*25-50mg of chlordiazepoxide is equivalent to 10mg of diazepam		*25-50mg of chlordiazepoxide is equivalent to 10mg of diazepam
	*50mg of chlordiazepoxide every 8 hours for two days, then decrease to 25mg every 8 hours for another two days followed by 25mg PRN as needed.		*50mg of chlordiazepoxide every 8 hours for two days, then decrease to 25mg every 8 hours for another two days followed by 25mg PRN as needed. An alternative dosing regimen to consider is chlordiazepoxide 50 mg PO q6-12h on d 1; 25 mg PO q6h on d 2; 25 mg PO q12h on d 3; 25 mg PO at night on d 4.

	===[[Anticonvulsants]]===		===[[Anticonvulsants]]===

Elcatracho: /* External Links */

2021-01-28T05:39:59Z

External Links

← Older revision		Revision as of 05:39, 28 January 2021
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	*Link to [https://lacounty.sharepoint.com/sites/dhs-ccl/Addiction%20Medicine/Forms/AllItems.aspx?id=%2Fsites%2Fdhs%2Dccl%2FAddiction%20Medicine%2FOutpatient%20Medication%20Management%20of%20Alcohol%20Use%20Disorder%2Epdf&parent=%2Fsites%2Fdhs%2Dccl%2FAddiction%20Medicine DHS Expected Practice]		*Link to [https://lacounty.sharepoint.com/sites/dhs-ccl/Addiction%20Medicine/Forms/AllItems.aspx?id=%2Fsites%2Fdhs%2Dccl%2FAddiction%20Medicine%2FOutpatient%20Medication%20Management%20of%20Alcohol%20Use%20Disorder%2Epdf&parent=%2Fsites%2Fdhs%2Dccl%2FAddiction%20Medicine DHS Expected Practice]
	*LA County Substance Abuse Service Helpline: 844-804-7500		*LA County Substance Abuse Service Helpline: 844-804-7500
			*[https://emcrit.org/ibcc/etoh/ The Internet Book of Critical Care: Alcohol Withdrawal]

	==References==		==References==

Elcatracho: /* Clinical Features */

2020-12-12T05:03:25Z

Clinical Features

← Older revision		Revision as of 05:03, 12 December 2020
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	*Reduction in alcohol use that has been heavy and prolonged		*Reduction in alcohol use that has been heavy and prolonged
	*At least 2 of the following		*At least 2 of the following
	**Autonomic hyperactivity (e.g., diaphoresis, [[tachycardia\|HR>100)		**Autonomic hyperactivity (e.g., diaphoresis, [[tachycardia\|HR>100]])
	**Increased hand [[tremor]]		**Increased hand [[tremor]]
	**[[Insomnia]]		**[[Insomnia]]