The goals of treatment are to:
- Save the person's life
- Relieve symptoms
- Prevent complications
A hospital stay is needed. The health care team will regularly check:
- Blood chemistry results, such as electrolyte levels
- Body fluid levels
- Vital signs (temperature, pulse, rate of breathing, blood pressure)
Symptoms such as agitation, seizures, and irregular heartbeat are treated with the following medications:
- Sedatives such as diazepam or lorazepam
- Anticonvulsants such as phenobarbital
The patient may need to be put into a sedated state for a week or more until withdrawal and DTs are finished. Benzodiazepine medications such as diazepam or lorazepam also help treat seizures, anxiety, and tremors.
Antipsychotic medications such as haloperidol may sometimes be needed for persons with severe psychotic symptoms, especially if they have an underlying problem such as schizophrenia. However, these drugs should be avoided if possible because they may contribute to seizures.
Long-term preventive treatment should begin after the patient recovers from immediate symptoms. This may involve a "drying out" period, in which no alcohol is allowed. Total and lifelong avoidance of alcohol (abstinence) is recommended for most people who go through withdrawal. The person should receive treatment for alcohol use or alcoholism, including:
- Support groups (such as Alcoholics Anonymous)
The patient should be tested, and if needed, treated for other medical problems that can occur with alcohol use. Such problems may include: