Question

A 58-year-old homeless man with chronic alcohol misuse is admitted with confusion, ataxia and nystagmus. You suspect Wernicke’s encephalopathy. What is the most appropriate immediate treatment?

Accepted Answer

IV Thiamine (Pabrinex) high-dose regimen

Answer

Oral Thiamine tablets

Answer

High-dose Diazepam

Answer

Start oral Disulfiram

Answer

Start long-acting Naltrexone

Practice question

A 58-year-old homeless man with chronic alcohol misuse is admitted with confusion, ataxia and nystagmus. You suspect Wernicke’s encephalopathy. What is the most appropriate immediate treatment?