[Band6]

In hospital:

Pabrinex IV, 1 pair twice daily for 2-3 days (prophylaxis of Wernicke's encephalopathy)

Thiamine 300mg od (usually divided doses) (reason - as above)

Chlordiazepoxide, reducing dose.

If liver impairment - not chlordiazepoxide, substitute for oxazepam (avoids first pass effect)

Usually multivitamins BPC 1-2 od

Vit B Co. Strong - dose varies!

Don't forget non-pharmacological measures, I know a patient who did very well with Tai Chi!

It is also appropriate to investigate any underlying causes eg depression, bi-polar disorder, and treat as necessary.