GuidelineCurrent

ASAM 2020 — Clinical Practice Guideline on Alcohol Withdrawal Management

American Society of Addiction Medicine, 2020

Benzodiazepines remain first-line therapy for alcohol withdrawal; resistant withdrawal in monitored ICU settings may require adjunctive phenobarbital, dexmedetomidine, or propofol when mechanical ventilation is already required.

Conditional recommendationModerate certainty

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Clinical Context & Relevant Topics (1)

Disease Reference

Alcohol & Benzodiazepine Withdrawal in the ICU

Recognition and treatment of severe withdrawal, delirium tremens and withdrawal seizures with symptom-triggered or front-loaded GABAergic therapy.

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