Alcohol withdrawal syndrome

About Alcohol withdrawal syndrome

After suddenly stopping alcohol consumption patients can have a wide range of symptoms ranging from tremors and sweating, to seizures, hallucinations, and death. This disorder is more likely to occur in patients who have been drinking daily for weeks to months. The symptoms can begin a few hours to a day after drinking has stopped, and can last for as long as 1-2 weeks.

Symptoms

Tremors, sweating, high blood pressure, racing heart, fever, confusion, hallucinations.

Tests & Diagnostics

A history and physical exam will be performed along with other tests which usually include: a complete blood count, liver function tests, electrolytes, lipase, and a brain CT scan.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, Lipase, Urinalysis (UA).

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

The mainstay of therapy is sedation, supporting the vital signs, and preventing self-harm. Treatment always includes: intravenous fluids and benzodiazepines (lorazepam/Ativan, chlordiazepoxide (Librium), diazepam/Valium).In some cases, anti-psychotic medications are needed. Thiamine (vitamin B1) and other vitamins are also given intravenously. Alcohol and Drug Helpline: (800) 821-4357 Al-Anon (888)425-2666

Medical specialties

Internal Medicine · Family Practice · Medical Toxicology · Addiction Medicine

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Alcohol withdrawal syndrome.