A 55-year-old man with alcohol dependence is admitted for detoxification. He drinks 30 units of alcohol daily and has had previous withdrawal seizures...

Question

A 55-year-old man with alcohol dependence is admitted for detoxification. He drinks 30 units of alcohol daily and has had previous withdrawal seizures. What is the most appropriate prophylactic measure to prevent Wernicke encephalopathy?

Accepted Answer

Intravenous Thiamine (Pabrinex) before glucose-containing fluids

Answer

Oral Thiamine only

Answer

No vitamin supplementation is needed

Answer

High-dose oral Vitamin C

Answer

Start high-dose Prednisolone

uk-plab-1 MCQ (SBA): Alcohol dependence – Wernicke prophylaxis

A 55-year-old man with alcohol dependence is admitted for detoxification. He drinks 30 units of alcohol daily and has had previous withdrawal seizures. What is the most appropriate prophylactic measure to prevent Wernicke encephalopathy?