Benzodiazepines (e.g., Diazepam, Lorazepam, Chlordiazepoxide):
- Diazepam:**
- 10-20 mg orally or intravenously every 1-2 hours as needed for severe symptoms.
- Maintenance doses range from 10-40 mg/day in divided doses.
- Lorazepam:**
- 2-4 mg orally every 1-2 hours as needed for severe symptoms.
- Maintenance doses range from 6-12 mg/day in divided doses.
- Chlordiazepoxide:**
- 25-100 mg orally every 1-2 hours as needed for severe symptoms.
- Maintenance doses range from 50-300 mg/day in divided doses.
Anticonvulsants (e.g., Carbamazepine, Valproate):
- Carbamazepine:
- Loading dose of 200 mg orally every 6 hours on day 1, followed by maintenance doses of 200-400 mg orally every 6-8 hours.
- Valproate:
- Loading dose of 20-30 mg/kg/day orally in divided doses on day 1, followed by maintenance doses of 20-30 mg/kg/day.
Beta-Blockers (e.g., Propranolol):
- Propranolol:
- 20-40 mg orally every 6-8 hours as needed for tremors, palpitations, or tachycardia.
Alpha-2 Agonists (e.g., Clonidine):
- Clonidine:
- 0.1-0.3 mg orally every 4-6 hours as needed for symptoms of autonomic hyperactivity.
Thiamine (Vitamin B1):
- Thiamine:
- 100 mg intramuscularly or intravenously daily for several days to prevent Wernicke-Korsakoff syndrome, especially in chronic alcoholics.
Multivitamins and Electrolyte Supplements:
- Multivitamins:
- To replenish essential vitamins and minerals
- Electrolyte supplements:
- To correct any electrolyte imbalances caused by excessive alcohol consumption.
Other:
- Gabapentin:
- 300-600 mg orally three times a day to reduce alcohol cravings and certain withdrawal symptoms.