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Medicines available for 'alcohol dependants'

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  • Medicines available for 'alcohol dependants'

    This may sound really quite random and I guess quite ambiguous but I was just wondering what kind of medication (or treatment) is available for alcohol dependants?

    I'm not looking into it for personal reasons, I'm actually researching for study purposes. I have a 6000 word essay to complete, waaa ! Actually, I guess that's nothing for those who have trawled through pharmacy for 5 years.

    Anyway, any feedback and comments would be greatly appreciated. Thankyou!

    (P.s. I hope this is in the right section!)
    Last edited by Roberttt; 13, April 2008, 09:10 PM. Reason: ..
    [SIZE="3"][B][FONT="Arial Narrow"]Long road to ruin there in your eyes
    Under the cold streetlights
    No tomorrow, no dead end in sight[/FONT][/B][/SIZE]

  • #2
    Re: Medicines available for 'alcohol dependants'

    Obviously acamprosate (Campral) and Disulfiram (Antabuse) spring to mind; But I also see diazepam, procyclidine, thiamine, and Vit. B Co strong tabs prescribed, as well as a whole lot of antidepressants...
    Ze genuine Article, present & perfect!

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    • #3
      Re: Medicines available for 'alcohol dependants'

      Yeah, I was thinking of antidepressants, vitaman B and maybe diazepam (etc) but I was thinking of things where alcohol was the primary diagnosis. Sorry to sound quite vague on this!

      Thankyou zoggite, I'll look into those!
      [SIZE="3"][B][FONT="Arial Narrow"]Long road to ruin there in your eyes
      Under the cold streetlights
      No tomorrow, no dead end in sight[/FONT][/B][/SIZE]

      Comment


      • #4
        Re: Medicines available for 'alcohol dependants'

        See BNF section 4.10

        also consider non drug treatments

        From the Orange Book

        "6.4.4 Non-drug interventions
        Advice should be given on the location of
        Alcoholic Anonymous (AA) meetings, and
        patients should be encouraged to attend AA
        meetings as part of their initial treatment
        programmes. Posters with information on NA
        and AA should be prominently displayed in
        patient waiting areas and leaflets on such
        programmes should be available. Knowledge of
        other local support groups and day programmes,
        and active links with such programmes, can
        facilitate patient uptake."

        The SIGN Guidelines are useful
        http://www.sign.ac.uk/pdf/sign74.pdf

        NICE guidance is under development

        This however is useful

        http://beta.cks.library.nhs.uk/alcohol_problem_drinking

        (declaration of interest - I've been invited to be a reviewer)

        Jeff

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        • #5
          Re: Medicines available for 'alcohol dependants'

          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.
          Band6 is a Band 6 no longer.. now 7/8a

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