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- Brit Long, Samuel M Keim, Michael Gottlieb, and Niels Rathlev.
- Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.
- J Emerg Med. 2024 Nov 1; 67 (5): e494e503e494-e503.
BackgroundAlcohol use disorder is associated with a variety of complications, including alcohol withdrawal syndrome (AWS), which may occur in those who decrease or stop alcohol consumption suddenly. AWS is associated with a range of signs and symptoms, which are most commonly treated with GABAergic medications.Clinical QuestionIs phenobarbital an effective treatment for AWS?Evidence ReviewStudies retrieved included two prospective, randomized, double-blind studies and three systematic reviews. These studies provided estimates of the effectiveness and safety of phenobarbital for treatment of AWS.ConclusionsBased on the available literature, phenobarbital is reasonable to consider for treatment of AWS. Clinicians must consider the individual patient, clinical situation, and comorbidities when selecting a medication for treatment of AWS.Copyright © 2024 Elsevier Inc. All rights reserved.
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