Industrial Psychiatry Journal

REVIEW ARTICLE
Year
: 2013  |  Volume : 22  |  Issue : 2  |  Page : 100--108

Clinical management of alcohol withdrawal: A systematic review


Shivanand Kattimani, Balaji Bharadwaj 
 Department of Psychiatry, Regional Deaddiction Center, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India

Correspondence Address:
Balaji Bharadwaj
Department of Psychiatry, Regional Deaddiction Center, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry - 605 006
India

Alcohol withdrawal is commonly encountered in general hospital settings. It forms a major part of referrals received by a consultation-liaison psychiatrist. This article aims to review the evidence base for appropriate clinical management of the alcohol withdrawal syndrome. We searched Pubmed for articles published in English on pharmacological management of alcohol withdrawal in humans with no limit on the date of publication. Articles not relevant to clinical management were excluded based on the titles and abstract available. Full-text articles were obtained from this list and the cross-references. There were four meta-analyses, 9 systematic reviews, 26 review articles and other type of publications like textbooks. Alcohol withdrawal syndrome is a clinical diagnosis. It may vary in severity. Complicated alcohol withdrawal presents with hallucinations, seizures or delirium tremens. Benzodiazepines have the best evidence base in the treatment of alcohol withdrawal, followed by anticonvulsants. Clinical institutes withdrawal assessment-alcohol revised is useful with pitfalls in patients with medical comorbidities. Evidence favors an approach of symptom-monitored loading for severe withdrawals where an initial dose is guided by risk factors for complicated withdrawals and further dosing may be guided by withdrawal severity. Supportive care and use of vitamins is also discussed.


How to cite this article:
Kattimani S, Bharadwaj B. Clinical management of alcohol withdrawal: A systematic review.Ind Psychiatry J 2013;22:100-108


How to cite this URL:
Kattimani S, Bharadwaj B. Clinical management of alcohol withdrawal: A systematic review. Ind Psychiatry J [serial online] 2013 [cited 2020 Dec 2 ];22:100-108
Available from: https://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2013;volume=22;issue=2;spage=100;epage=108;aulast=Kattimani;type=0