Question

A 55-year-old man with a history of heavy alcohol use presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate treatment?

Accepted Answer

IV thiamine before glucose

Answer

IV glucose followed by thiamine

Answer

High-dose antipsychotics

Answer

Oral vitamin B12

Answer

Oral thiamine only

Practice question

A 55-year-old man with a history of heavy alcohol use presents with confusion, ataxia and ophthalmoplegia. What is the most appropriate immediate treatment?