Doctor insights on:
Is Thyamin Use For Treating Delirium Tremens
We believe delirium occurs when the brain cannot maintain its normal activities when overwhelmed by metabolic demands or other variables which exceed the brain's capacity to compensate for. Brains with less reserve capacity are particularly vulnerable. Not entirely unlike acute heart failure. See my last textbook chapter for more reading in the appi textbook ...Read more
DTs: No! this is a life threatening situation and needs treatment by a physician. ...Read more
For withdrawal: Heavy alcohol use can deplete thiamine, an essential B vitamin. It's essential to give thiamine during withdrawal. But thus is not treatment for alcohol dependence, but an aspect of the treatment. Other medications in conjunction with psychological treatment and support groups are important treatment modalities. ...Read more
Generally speaking, is it appropriate to use hydromorphone to treat the symptoms of delirium if haloperidol is not very effective?
No one best: There is no one best drug but a physician will try to select one by balancing adequate seizure control, ease of use, other medical problems, with minimal risk of causing additional liver problems. Keppra (levetiracetam) (levetriacetam) is a potential choice with low risk of liver injury but there is no one best choice. ...Read moreSee 1 more doctor answer
Hospitalization: Delerium tremens is a severe form of alcohol withdrawal that can involve nervous system (anxiety, hallucinations, agitation, seizures) and cardiovascular (high blood pressure, heart racing) changes. It can be very dangerous. Treatment with various medications (often anti-anxiety medications in the class of benzodiazepines) is used to help people withdraw safely. ...Read more
It Depends: There are possibly 100 different medications, maybe more used to treat various symptoms for the conditions you mentioned in your question. Generally, psychosis is treated with antipsychotics; mood problems are treated with mood stabilizers or antidepressant; and anxiety is treated with anxiolytics. I don't think it helpful to start listing the names a medications. One should ask the psychiatrist. ...Read more
Cardiac arrest: Atropine is not used for cardiac arrest. About the only effective drug in cardiac arrest is epinephrine. Once cardiac rhythm other than vfib or pulseless electronic activity occurs we then can try other drugs depending on what's present but at that point the arrest has converted to another pathologic state ...Read more
Is a hospital psych ward an appropriate place for postpartum psychosis treatment? I'm particularly concerned with use of anti-psychotic drugs!
At times, yes: Postpartum psychosis is an extremely serious illness. Women with postpartum psychosis may hallucinate and be delusional. Without treatment, may act on delusions. When ill, some have thought their babies were demonically possessed and needed to be killed. Temporary inpatient treatment can stabilize the mom, and protect both her & her infant. Antipsychotic medications may be life-saving. ...Read more
Not usually: Temazepam (restoril) is used as a sedative-hypnotic, for people with insomnia. I've never heard of anyone using it for anxiety alone. It can act in 30-60 minutes, and if you took it in daytime you could be asleep rather than merely calm! so i wouldn't suggest doing that. There are better choices for anxiety -- especially having a good evaluation so the best choices can be made. ...Read more
Should haldol (haloperidol) be used to treat combativeness when there is a lifethreatening overdose of ambien?
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