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Alcohol Use Disorders: Diagnosis and Clinical Management of Alcohol-Related Physical Complications [Internet]

Alcohol Use Disorders: Diagnosis and Clinical Management of Alcohol-Related Physical Complications [Internet]

NICE Clinical Guidelines - National Clinical Guideline Centre (UK)

Version: 2010

Evidence Tables

Unclear allocation concealment

Acute Alcohol Withdrawal

Some drinkers that consume alcohol in quantities outside healthy limits will develop an acute alcohol withdrawal syndrome when they abruptly stop or substantially reduce their alcohol consumption. Most patients manifest a minor symptom complex or syndrome, which may start as early as six to eight hours after an abrupt reduction in alcohol intake. It may include any combination of generalized hyperactivity, anxiety, tremor, sweating, nausea, retching, tachycardia, hypertension and mild pyrexia. These symptoms usually peak between 10 to 30 hours and subside by 40 to 50 hours. Seizures may occur in the first 12 to 48 hours and only rarely after this. Auditory and visual hallucinations may develop; these are characteristically frightening and may last for five to six days.

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