What Are The Best Medications for Alcohol Withdrawal? | Psychiatrist Dr Paul Linde Answers

Hear from Ria Health Psychiatrist Dr Paul Linde on the best medications for alcohol withdrawal - specifically for an outpatient setting.
Important: If you are experience symptoms of alcohol withdrawal please call 911.
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Ria Health delivers evidence-based care that includes medications, one on one support, a digital app, and progress tools. We support people who want to either reduce or stop drinking with the care of an expert medical team and community support.
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[@barneyrubble1431]

how to and where can you acquire your last recommendation of the nervous system short circuiting from alcohol withdrawals,, I can't even pronounce the word of the drug you said, is it a prescription drug? or can it be purchased at the box store?

[@frankgeee1313]

I've stopped my party stage.. looking for work to keep busy... Lots of regrets from alcoholism... But I must move forward

[@ccxfrank109]

more power to you. wish you the best

[@philippamediwake1235]

Don’t be hard on yourself. Good luck, stay away from alcohol & manage stress/insomnia with things you enjoy and a change of lifestyle! 😊

[@WhoIsModernDoll]

Love to you!

[@nobuenonews9629]

As someone who just went through detox. Gabapentin absolutely did not help whatsoever. My symptoms only stopped when I was given Ativan.

[@HelloKitty-wi1jl]

Please explain.....i need info on Ativan

[@riely8991]

Glad I've been tapering. 100 proof to 80 to light beer to hopefully nothing here

[@Sreybk]

The gold standard for alcohol withdrawal is either Valium or Librium. Gabapentin not habit-forming? It sure as hell can be. Very minor withdrawal symptoms might be alleviated a bit with Gabapentin, but the literature does not reflect efficacy a a sole medication for alcohol withdrawal symptoms.

[@davidkohno3043]

He said in an outpatient setting. In an inpatient setting during the first 3 days of withdrawal or duration of the hospital visit, Valium and Librium are definitely more appropriate.

[@Sreybk]

@@davidkohno3043 I have personal experience with being given Librium and Klonopin in an outpatient setting, which is completely appropriate, even though I am not a doctor, nor giving medical advice. Reduction of symptoms using long-acting benzos either way is probably the best way to go because it would reduce the kindling phenomenon.

[@captaindiaper2210]

Valium is needed for hard core alcohol withdrawal. Gabapentin is meant for the later stages when you aren't at risk for seizures, etc.

[@nobuenonews9629]

Gabapentin did not help at all with my detox.

[@henrygoodyear2029]

Is this guy talking about detoxing? Because gabapebtin won’t work. Patients need diazapam or Librium. Sometimes iv Ativan

[@paulm3224]

Librium is the best I've had I had a seizure outside a busstop in England and they prescribed me librium , been sober since

[@ddtt958]

I've heard that people going through severe and even moderate withdrawls get prescribed benzo's sometimes. Wouldn't benzo's just prolong the alcohol withdrawls since they both have an effect on Gaba?

[@519Chawk420]

no but i see what your saying , its more complicated then that

[@JustinHight-py2sw]

No because baclofen is the greatest medication that works for withdrawal of all time . And it hits gaba receptors. It's takes every single withdrawal symptoms away. Nothing can touch it but it's mostly used as a muscle relaxer.

[@adriansumner1412]

Gabapentin did nothing. The best I found was Serepax (Oxazepam), Campral, Magnesium and Vitamin B Complex

[@timothywait9457]

Valium (Diazapam)

[@JustinHight-py2sw]

Baclofen is 1 million times better. Takes more like an hour to kick in but it doesn't "help" withdrawal,it kills it dead. Nothing can touch it. Its actually a muscle relaxer

[@monstermind4286]

Is Zofran be okay to take for nausea caused by alcohol withdrawal? Or is there another medicine anyone recommends I can ask my doctor

[@billymacktexasdetective5827]

I was prescribed 4mg Zofran for use during withdrawal, worked like a charm. Paired with librium, I had virtually no physical withdrawal symptoms.

[@Jaystyr424]

Yes zofran is ok

[@dawsonphillips256]

Doing Librium and zofran now actually. How did it work for u? Hoping I won’t feel withdrawals..

[@EbrahimSaadawii]

yes it is the best .

[@Sparrow350]

​@billymacktexasdetective5827 how long after your last drink did you start your first dose of librium?

[@frankgeee1313]

Xanax.. I was drinking 2 liter's of bourbon a week... Starting Friday then ending Monday morning.

[@Izaak.]

can i ask you for some guidance? i have been drinking for 7-8 years on the weekend, binging. became a daily drinker of around 150 mg of pure alcohol or 15 standard drinks a day around 4 months a go, had a dt and hallucinosis trying to come off without stepping down or benzos, was hell, got enough xanax for 3 days atm, but have not touched it due to not having the experience using it to withdraw from etoh, i have used xanax before, what does it do for you? did it prevent the heavy gaba fluctuations that cause the symptoms, and after a few days you were fine ?

[@captaindiaper2210]

Friday to Monday? Lightweight.

[@mariomerrell9397]

I was drinking a liter a day...

[@captaindiaper2210]

@@mariomerrell9397 now that's alot... Jesus... Did you taper?

[@mariomerrell9397]

@@captaindiaper2210 Unfortunatly I am still struggling with Alcohol abuse and have not gotten the proper help I need

[@TheCannabisCarnivore]

I cannot get a straight answer anywhere… if I’m a current heavy drinker and start taking Naltrexone, will it tell my brain I’m no longer drinking and start the withdrawal process?

[@ruthbarnard6593]

It is supposed to reduce your desire to drink. I’ve seen it used for weight loss as well. How’s it going so far? Have you been taking it?

[@TheCannabisCarnivore]

@@ruthbarnard6593 it definitely works. The reason I keep asking the question is because the first day after taking it, I suffered TERRIBLE withdrawal symptoms without reducing the amount I drank. Now, I had gone to the doctor and got meds to help with the withdrawal so I made it through fine, but something caused major withdrawal systems very quickly. And all I have ever done is drink alcohol. So that’s why I want to know what is going on in your brain while taking it.

[@GetaPetaHome]

Go back before 2010! Like 80y of gold standard meds are being replaced with experimental trials of high-profit psych meds. Antipsychotics SHRINK THE BRAIN..EVERY DOSE…so…

[@NocturnalTerror]

Librium

[@frankgeee1313]

I've been on alprazolam since 2018... Works to keep liquor away from me... Only problem is the pills run out and your back to drinking to prevent seizures

[@ms.charlie841]

You can get safely medically detoxed from both

[@m.h.4144]

@@ms.charlie841And Benzos at least don’t have the Dopamin rush that your missing and if you don’t mix up drinks with Benzos you also don’t got that ritual. But Benzo withdrawal takes far longer and has to be tapered of much slower in my opinion. Switching to Gabapentin really is the best option or Lyrica depending on how much Alprazolam you take. There is also pure GABA powder it’s a bit calming and helps you sleep but it’s still debatable if it really fixes your GABA levels while being sober a bit.

[@cheriscott-sb1yu]

Valarian root

[@sci_ent_ificsui_neg9236]

I was on Gabapentin and then Pregabalin (very similar feeling but stronger) .... I swear by both but the latter more so.