Alcohol Withdrawal Syndrome: a Review

Abstract

Alcoholism is a common condition and frequently clinicians are forced to confront its complications in general hospital settings. There are an estimated 3 million alcohol-dependent people in Romania alone, from which a significant number suffers episodes of withdrawal severe enough to require pharmacologic treatment. Alcohol withdrawal syndrome is a clinical diagnosis, with symptoms that range from minor (anxiety/palpitations) to severe (delirium tremens/hallucinations). Benzodiazepines have the best evidence in treating this disease. A symptom-triggered therapy approach is favored using a validated tool, such as CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol Scale, Revised), for shorter periods of hospitalization and for using lower doses of sedatives.

Abordarea depresiei în practica medicului de familie

“…Cronicitatea, tendinţa de suicid, nevoia de psihoterapie şi cantitatea antidepresivelor utilizate determină medicii de familie să trimită pacienţii depresivi către specialist (22,23,24,25).…”

Nutritional patterns in chronic kidney disease

“…As for the alcohol consumption, there are mixed observations reported, some studies showing a correlation between the risk of developing and progression of chronic kidney disease and the increased alcohol consumption [27][28][29] . However, most studies have not found a significant link between moderate alcohol consumption and the progression of chronic kidney disease 30,31 .…”