Librium to Cure Alcohol Withdrawals
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Librium (Chlordiazepoxide) is a sedative tranquilizer that induces relaxation and anxiolysis.
The appropriate dosage of Librium must be used as part a proper treatment regimen, which depends on a patient’s drug history and current health. Librium should not be taken by those at risk of liver failure, and alcohol should not be consumed while taking Librium.
Librium and alcohol withdrawal symptoms
Patients find Librium helpful in treating:
- Panic attacks
Librium (Chlordiazepoxide) is one of the most effective benzodiazepines (“benzos”) used to treat alcohol withdrawal. Benzodiazepines in general, paired with anticonvulsants, have had great success in treating alcohol withdrawal. Librium specifically is a preferred benzo due to its long half-life, which allows for self-tapering. It is a sedative tranquilizer that induces relaxation and anxiolysis (the prevention of anxiety). Medical trials have shown Librium to be more effective in treating alcohol withdrawal symptoms than chlorpromazine, hydroxyzine, thiamine or placebos.
Why Is Alcohol Withdrawal Dangerous?
Alcoholism is one of the most dangerous addictions, and withdrawal from alcohol can have numerous, severe symptoms. Alcohol withdrawal syndrome is a clinical diagnosis that can vary from minor to debilitating. In especially acute cases, it can even be lethal.
Minor symptoms of alcohol withdrawal (within six hours after stopping drinking) include:
Hallucinations (mainly visual) are also common between 12-48 hours after the last drink.
Delirium tremens is perhaps the most dangerous of the withdrawal symptoms. It is a condition characterized by hypertension, hallucinations, hyperthermia, and agitation. Patients experiencing delirium tremens may have up to a 5% mortality rate.
Many former alcoholics put on Librium during their treatment have reported beneficial effects. Some patients find Librium helpful in treating:
- Blood pressure
Librium also improves the emotional state of many patients, as it helps with:
- Disordered thinking
- Emotional well-being
- Panic attacks
The drug also relieves severe tremors and palpitations, often observed in people who are experiencing alcohol withdrawal syndrome.
Librium Protocol for Alcohol Withdrawal
Patients experiencing alcohol withdrawal should be monitored closely, and their Librium dosage should be prescribed by a professional. The length of therapy is unique to the individual, and it depends on the history of abuse and current health.
Librium shouldn’t be given to pregnant women or patients at risk of liver failure
For acute alcohol withdrawal, higher doses are necessary compared to the doses prescribed for anxiety. Usually, 5-100 mg is a reasonable amount that can be repeated after two to four hours. It’s not recommended to exceed 300 mg/day. However, it has been reported that some professionals have used up to 600-800 mg/day to treat severe cases.
Librium is used to achieve sedation, but if sedation can’t be induced and the patient is unresponsive, a barbiturate can be employed.
Literature review shows a precise classification of the treatment regimens used in medical settings:
- Fixed/Rigid dose regimen
- Loading dose regimen
- Symptom-monitored loading dose
- Rapid loading with close monitoring
The best treatment regimen relies on the patient’s history of abuse and other health factors to determine which course of treatment should be followed.
Drinking should be avoided altogether after treatment with Librium. Withdrawal symptoms can become more intense and dangerous, and the risk of the withdrawal symptoms becoming fatal can increase.
Librium and Therapy
Librium shouldn’t be taken for extended periods, as it can lead to tolerance and dependence. Librium affects the neurotransmitters in the brain and makes the user feel calm, which can induce a psychological addiction, especially for patients that are experiencing anxiety during withdrawal. Anxiety and other comorbid disorders such as bipolar disorder, and depression are not uncommon, and treatment for these conditions may be necessary as well.
Supportive medication and therapy should be provided when dealing with alcohol withdrawal. Magnesium supplements and vitamins should be part of the treatment due to the chronic malnutrition that can occur with alcohol abuse. A supportive environment is also important to recovery. Family support, an AA community, and social activities are crucial to such a supportive environment. Many people note the benefits that an active social network has had on their recovery.
Alcohol withdrawal is not a risk-free process, and benzodiazepines are one of the most effective drugs used to manage the symptoms of withdrawal. Librium is the medication preferred by medical practitioners and those in recovery to help patients to lead a stable, alcohol-free life.
- Reddy VK, Girish K, Lakshmi P, Vijendra R, Kumar A, Harsha R. Cost-effectiveness analysis of baclofen and chlordiazepoxide in uncomplicated alcohol-withdrawal syndrome. Indian J Pharmacol. 2014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4118528/
- Rothstein E. Prevention of alcohol withdrawal seizures: the roles of diphenylhydantoin and chlordiazepoxide. Am J Psychiatry. 1973. https://ajp.psychiatryonline.org/doi/abs/10.1176/ajp.130.12.1381
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