Phenobarbital in Severe Alcohol Withdrawal Syndrome
Phenobarbital in Severe Alcohol Withdrawal Syndrome
Jordan Rowe Pharm.D. Candidate UAMS College of Pharmacy
Disclosure: No relevant financial relationship exists.
Objectives
1. Describe the pathophysiology and clinical presentation of alcohol withdrawal syndrome (AWS).
2. Evaluate the role for phenobarbital in adult patients at risk for developing AWS.
Patient Case
A 32 year old male arrives at the ED by ambulance. His spouse called 911 after the patient reported that he felt like bugs were crawling under his skin. The patient also reported constant nausea, moderate anxiety, and slight tremor. He was given a bolus dose of lorazepam upon arrival as his spouse said he recently decided to quit drinking alcohol.
Pathophys of AWS - GABA Receptor
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