Outpatient management of alcohol withdrawal syndrome

American Family Physician

Volumn 88, Issue 9, 2013, Pages 589-595

  Muncie Jr , Herbert L ^a   Yasinian, Yasmin ^b   Oge', Linda ^a  

^a LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ATENOLOL; CARBAMAZEPINE; CHLORDIAZEPOXIDE; CLONIDINE; DIAZEPAM; FOLIC ACID; GABAPENTIN; LORAZEPAM; OXAZEPAM; OXCARBAZEPINE; THIAMINE; VALPROIC ACID; ALCOHOL; ANTICONVULSIVE AGENT; CENTRAL DEPRESSANT AGENT;

AGITATION; ALCOHOL ABSTINENCE; ALCOHOL WITHDRAWAL; ALCOHOLISM; ARTICLE; ATAXIA; BEDTIME DOSAGE; BLOOD PRESSURE MONITORING; BRADYCARDIA; CONSTIPATION; DELIRIUM; DEPRESSION; DIPLOPIA; DISORIENTATION; DIZZINESS; DRUG DEPENDENCE; FATIGUE; HALLUCINATION; HEARING IMPAIRMENT; HUMAN; HYPOTENSION; INSOMNIA; NAUSEA; NAUSEA AND VOMITING; OUTPATIENT CARE; RANDOMIZED CONTROLLED TRIAL (TOPIC); RESPIRATION DEPRESSION; RETROGRADE AMNESIA; SEDATION; SIDE EFFECT; SINGLE DRUG DOSE; SWEATING; TACHYCARDIA; TREMOR; VOMITING; XEROSTOMIA; ALCOHOL WITHDRAWAL DELIRIUM; ALCOHOL WITHDRAWAL SEIZURES; AMBULATORY CARE; MULTIMODALITY CANCER THERAPY; PROCEDURES; SEVERITY OF ILLNESS INDEX; SUBSTANCE WITHDRAWAL SYNDROME; DELIRIUM TREMENS; METHODOLOGY; REVIEW; WITHDRAWAL SEIZURE; WITHDRAWAL SYNDROME;

ALCOHOL WITHDRAWAL DELIRIUM; ALCOHOL WITHDRAWAL SEIZURES; ALCOHOLISM; AMBULATORY CARE; ANTICONVULSANTS; CENTRAL NERVOUS SYSTEM DEPRESSANTS; COMBINED MODALITY THERAPY; ETHANOL; HUMANS; SEVERITY OF ILLNESS INDEX; SUBSTANCE WITHDRAWAL SYNDROME;

EID: 84887540979     PISSN: 0002838X     EISSN: 15320650     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Reid MC, Fiellin DA, O'Connor PG. Hazardous and harmful alcohol consumption in primary care. Arch Intern Med. 1999;159 (15):1681-1689.
2. Manwell LB, Fleming MF, Johnson K, et al. Tobacco, alcohol, and drug use in a primary care sample. J Addict Dis. 1998;17(1):67-81.
3. Moyer VA. Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. Preventive Services Task Force recommendation statement [published ahead of print]. Ann Intern Med. 2013. http://annals.org/article.aspx?articleid=1722524. Accessed August 13, 2013.
4. Carr GD. Alcoholism: a modern look at an ancient illness. Prim Care. 2011;38(1):9-21.
5. Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984;252 (14):1905-1907.
6. Fiellin DA, Reid MC, O'Connor PG. Screening for alcohol problems in primary care: a systematic review. Arch Intern Med. 2000;160(13): 1977-1989.
7. Smith PC, Schmidt SM, Allensworth-Davies D, et al. Primary care validation of a single-question alcohol screening test [published correction appears in J Gen Intern Med. 2010;25(4):375]. J Gen Intern Med. 2009;24(7):783-788.
8. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.
9. Blondell RD. Ambulatory detoxifcation of patients with alcohol dependence. Am Fam Physician. 2005;71(3):495-502.
10. Lemon SJ Jr., Winstead PS, Weant KA. Alcohol withdrawal syndrome. Advanced Emergency Nursing Journal. 2010;32(1):20-27.
11. Benzer DG. Management of alcohol intoxication and withdrawal. In: Miller NS, American Society of Addiction Medicine, eds. Principles of Addiction Medicine. Chevy Chase, Md.: The Society; 1994.
12. Sullivan JT, Sykora K, Schneiderman J, et al. Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). Br J Addict. 1989;84 (11):1353-1357.
13. Elholm B, Larsen K, Hornnes N, et al. A psychometric validation of the Short Alcohol Withdrawal Scale (SAWS). Alcohol Alcohol. 2010;45(4):361-365.
14. Gossop M, Keaney F, Stewart D, et al. A Short Alcohol Withdrawal Scale (SAWS). Addict Biol. 2002;7(1):37-43.
15. Myrick H, Anton RF. Treatment of alcohol withdrawal. Alcohol Health Res World. 1998;22(1):38-43.
16. Klijnsma MP, Cameron ML, Burns TP, et al. Out-patient alcohol detoxifcation-outcome after 2 months. Alcohol Alcohol. 1995; 30(5):669-673.
17. Stinnett JL. Outpatient detoxifcation of the alcoholic. Int J Addict. 1982;17(6):1031-1046.
18. Malcolm R, Roberts JS, Wang W, et al. Multiple previous detoxifcations are associated with less responsive treatment and heavier drinking during an index outpatient detoxifcation. Alcohol. 2000;22(3):159-164.
19. Neuman JE, Quan D. Alcohol withdrawal syndrome. Emerg Med Rep. 2009;30(16):197-207.
20. Ferguson JA, Suelzer CJ, Eckert GJ, et al. Risk factors for delirium tre-mens development. J Gen Intern Med. 1996;11(7):410-414.
21. Naranjo CA, Sellers EM, Chater K, et al. Nonpharmacologic intervention in acute alcohol withdrawal. Clin Pharmacol Ther. 1983;34 (2):214 -219.
22. Mayo-Smith MF. Pharmacological management of alcohol withdrawal. A meta-analysis and evidence-based practice guideline. American Society of Addiction Medicine Working Group on Pharmacological Management of Alcohol Withdrawal. JAMA. 1997;278 (2):144-151.
23. Amato L, Minozzi S, Vecchi S, et al. Benzodiazepines for alcohol withdrawal. Cochrane Database Syst Rev. 2010;(3):CD005063.
24. de Wit H, Griffths RR. Testing the abuse liability of anxiolytic and hypnotic drugs in humans. Drug Alcohol Depend. 1991; 28 (1): 83 -111.
25. Griffths RR, Wolf B. Relative abuse liability of different benzodiazepines in drug abusers. J Clin Psychopharmacol. 1990;10(4):237-243.
26. Koski A, Ojanperä I, Vuori E. Alcohol and benzodiazepines in fatal poisonings. Alcohol Clin Exp Res. 2002;26(7):956-959.
27. Saitz R, Mayo-Smith MF, Roberts MS, et al. Individualized treatment for alcohol withdrawal. JAMA. 1994;272(7):519-523.
28. Daeppen JB, Gache P, Landry U, et al. Symptom-triggered vs fxed-schedule doses of benzodiazepine for alcohol withdrawal: a randomized treatment trial. Arch Intern Med. 200 2; 162 (10): 1117 -11 2 1.
29. Ait-Daoud N, Malcolm RJ Jr, Johnson BA. An overview of medications for the treatment of alcohol withdrawal and alcohol dependence with an emphasis on the use of older and newer anticonvulsants. Addict Behav. 2006;31(9):1628-1649.
30. Kosten TR, O'Connor PG. Management of drug and alcohol withdrawal. N Engl J Med. 2003;348(18):1786-1795.
31. Minozzi S, Amato L, Vecchi S, et al. Anticonvulsants for alcohol withdrawal. Cochrane Database Syst Rev. 2010;(3):CD005064.
32. Malcolm R, Myrick H, Roberts J, et al. The effects of carbamazepine and lorazepam on single versus multiple previous alcohol withdrawals in an outpatient randomized trial. J Gen Intern Med. 2002;17(5):349-355.
33. Lum E, Gorman SK, Slavik RS. Valproic acid management of acute alcohol withdrawal. Ann Pharmacother. 2006;40(3):441-448.
34. Schik G, Wedegaertner FR, Liersch J, et al. Oxcarbazepine versus car-bamazepine in the treatment of alcohol withdrawal. Addict Biol. 2005;10(3):283-288.
35. Koethe D, Juelicher A, Nolden BM, et al. Oxcarbazepine-efficacy and tolerability during treatment of alcohol withdrawal: a double-blind, randomized, placebo-controlled multicenter pilot study. Alcohol Clin Exp Res. 2007;31 (7):1188 -1194.
36. Myrick H, Malcolm R, Randall PK, et al. A double-blind trial of gabapen-tin versus lorazepam in the treatment of alcohol withdrawal. Alcohol Clin Exp Res. 2009;33 (9):1582-1588.
37. Addolorato G, Leggio L, Abenavoli L, et al. Baclofen in the treatment of alcohol withdrawal syndrome: a comparative study vs diazepam. Am J Med. 2006;119(3):276.e13-8.