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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1987-9-2
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pubmed:abstractText |
In a prospective, uncontrolled study, 62 alcoholic patients received IV phenobarbital (IV-PB) to treat the alcohol withdrawal (AW) syndrome. Initially 260 mg of IV-PB were administered followed by 130 mg every 30 minutes to an end point of light sedation. A mean loading dose of 598 (+/- 192) mg of IV-PB resulted in a mean increase in the serum PB level of 13.9 (+/- 4.7) microgram/mL. Thus, the serum PB level rose 1.65 micrograms/mL for each mg/kg of IV-PB administered to these adult patients in AW. Forty-six of 48 tremulous patients (96%) showed improvement in their AW tremors. None of the 38 patients who presented with AW seizures had another convulsion during a mean observation period of three hours and 47 minutes. Transient ataxia or over-sedation occurred in three of 62 patients (5%) and was exacerbated by concurrent ethanol, diazepam, or phenytoin (six of 17), who were excluded from the study. We conclude that IV-PB is a safe and efficacious therapy for mild to moderate AWS, and IV-PB may prevent AW seizures.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0196-0644
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
847-50
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:3619162-Acute Disease,
pubmed-meshheading:3619162-Adult,
pubmed-meshheading:3619162-Alcohol Withdrawal Delirium,
pubmed-meshheading:3619162-Drug Evaluation,
pubmed-meshheading:3619162-Ethanol,
pubmed-meshheading:3619162-Female,
pubmed-meshheading:3619162-Follow-Up Studies,
pubmed-meshheading:3619162-Humans,
pubmed-meshheading:3619162-Infusions, Intravenous,
pubmed-meshheading:3619162-Male,
pubmed-meshheading:3619162-Phenobarbital,
pubmed-meshheading:3619162-Prospective Studies,
pubmed-meshheading:3619162-Seizures,
pubmed-meshheading:3619162-Substance Withdrawal Syndrome
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pubmed:year |
1987
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pubmed:articleTitle |
Intravenous phenobarbital for alcohol withdrawal and convulsions.
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pubmed:publicationType |
Journal Article
|