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EM Quick Hits 1 Massive PE, Gabapentin for Alcohol Withdrawal, Dental Avulsions, Pediatric Eye Exam, Best Resuscitation Fluid
Emergency Medicine Cases
Gabapentin in Alcohol Withdrawal
Gabapentin is structurally related to GABA, the inhibitory neurotransmitter that is underactive during acute alcohol withdrawal. Benzos are a widely misused medication with a high potential for physical and psychological dependency. Once a patient is adequately loaded with benzodiazepines with resolution of their acute withdrawal symptoms, there is absolutely no reason to be sending them home with a prescription for Benzodiazepines. Their seizure risk is covered. We have a safer, better treatment for subacute withdrawal.
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