Flashcards in Drug Withdrawal: Symptoms and Treatment Deck (5)
Tremor (6-12 hours).
Tachycardia, hypertension, agitation, seizures (within 48 hours).
Hallucinations, Delirium Tremens--severe autonomic instability leading to tachycardia, delirium, and possibly death (within 2-7 days). Mortality is 15-20%.
Tx: BENZODIAZEPINES (can require massive doses); haloperidol for hallucinations; THIAMINE, folate, and multivitamin replacement (do not affect withdrawal, but most alcoholics are deficient).
Anxiety, seizures, delirium, tremor; tachycardia and hypertension
Rebound anxiety, seizures, tremor, insomnia
Tx: BDZ taper
Cocaine / amphetamines
Depression, hyperphagia, hypersomnolence
Supportive Treatment. Avoid pure beta-blockers (may lead to unopposed alpha activity, causing hypertension).