Tuesday, November 27, 2007

6- alcohol withdrawal syndrome

1- once the brain has been repeatedly exposed to high doses of alcohol , any sudden decrease can produce withdrawal symptoms , many of which are the opposite of those produced by intoxication .

2- features include

a- tremor of the hands ( shakes or jitters )

b- agitation and anxiety

c- autonomic nervous system overactivity including an increase in the pulse , respiratory rate and body temperature

d- insomnia possibly accompanied by bad dreams

e- gastro intestinal upset

f- seizures sometimes too

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DELIRIUM TREMENS refers to the delirium ( mental confusion , agitation and fluctuating levels of consciousness ) , associated with a tremor and autonomic over activity ( eg : marked increase in pulse , blood pressure and respirations )

fortunately this serious and life threatening complication of alcohol withdrawal is seen in less than 5 % of alcohol dependent individuals , with the result that the chance of DT s during any single withdrawal is less than 1 %

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just to tell u drugs used to treat alcohol dependance are DISULFIRAM , ACAMPROSATE AND NATREXONE .

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