A 52-year-old man with a history of alcohol dependence presents with tremor, sweating, agitation and visual hallucinations 3 days after abruptly stopp...

Question

A 52-year-old man with a history of alcohol dependence presents with tremor, sweating, agitation and visual hallucinations 3 days after abruptly stopping drinking. He is tachycardic and hypertensive. What is the most appropriate pharmacological management?

Accepted Answer

Regular Chlordiazepoxide with symptom-triggered dosing and supportive care

Answer

High-dose Haloperidol alone

Answer

Disulfiram immediately to prevent relapse

Answer

Beta blockers alone to control tachycardia

Answer

No medication, as this will resolve spontaneously

uk-plab-1 MCQ (SBA): Alcohol withdrawal delirium tremens

A 52-year-old man with a history of alcohol dependence presents with tremor, sweating, agitation and visual hallucinations 3 days after abruptly stopping drinking. He is tachycardic and hypertensive. What is the most appropriate pharmacological management?