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Q What is the optimal drug treatment for alcohol withdrawal delirium?
Clinical impact ratings GP/FP/Primary Care ★★★★★☆☆ IM/Ambulatory care ★★★★★☆☆ Internal medicine ★★★★★☆☆
Medline (1966 to September 2001) and bibliographies of relevant studies, reviews, and textbooks.
Study selection and assessment:
prospective controlled trials on the management of patients meeting the DMS-IV criteria for alcohol withdrawal delirium.
mortality, duration of delirium, time required for control of agitation, proportion with adequate control of delirium, and treatment complications.
9 controlled trials were included. Publication dates ranged from 1959–78. 5 trials (n = 386) compared sedative hypnotic agents with neuroleptic drugs and evaluated mortality. The sedative hypnotic drugs were paraldehyde, diazepam, chlordiazepoxide, and pentobarbital (1 trial combined chloral hydrate with paraldehyde). The neuroleptic drugs were chlorpromazine, promazine, and perphenazine (1 trial combined chloral hydrate with promazine). Of the 2 …
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