Talk:Alcohol withdrawal syndrome

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This article is very much needed[edit]

I just started this page. There is a page dedicated to individual alcohol withdrawal symptoms or conditions eg delirium tremens and Alcoholic hallucinosis but there is no page for the alcohol withdrawal syndrome which can include a wide range of physical and mental symptoms and complications which can range from mild insomnia and mild anxiety to extreme insomnia, extreme anxiety, psychosis and delirium tremens. There is a page for benzodiazepine withdrawal syndrome, a page for SSRI_discontinuation_syndrome and their full set of symptoms and management. Also many people clinicians, members of the public may search google, wikipedia for alcohol withdrawal or alcohol withdrawal syndrome but not find anything on wikipedia unless they are looking for a specific feature of alcohol withdrawal eg delirium tremens or alcoholic hallucinosis. It will take time to get this page built up and referenced so please bare with me and give me time. I welcome other editors helping to develop this page.--Literaturegeek | T@1k? 12:26, 12 August 2008 (UTC)

Symptoms list[edit]

Including Tremors (as a symptom) makes sense, however, the link currently redirects to the Kevin Bacon movie. While this is mildly amusing, underground worms are probably not what we're looking for. Ronabop (talk) 18:45, 22 October 2009 (UTC)

Well spotted, thanks, I have fixed it now.--Literaturegeek | T@1k? 19:33, 22 October 2009 (UTC)

I am editing this article as part of the WikiProject: Medicine UCSF elective. I first want to revamp the symptoms list. I don't think every symptom needs a re-direct to another wikipedia page, and lists are much more difficult to read. There are certain hallmarks of alcohol withdrawal syndrome and I think those should be highlighted. I wanted to get feedback about this from those of you who have spent time editing this before. UCSF2014 (talk) 18:46, 19 November 2013 (UTC)

Yes we generally try to write in prose rather than lists. Doc James (talk · contribs · email) (if I write on your page reply on mine) 20:21, 27 November 2013 (UTC)
I have not worked on this article in the past but I agree with Jmh649 that a prose paragraph would be preferable. I encourage UCSF2014 to perform the editing proposed with the exception that the symptoms should remain wikilinked. - - MrBill3 (talk) 10:29, 28 November 2013 (UTC)

Risk factors for getting AWS[edit]

This article simply says "after a prolonged period of excessive drinking". It would be nice to see some scientific evidence of what constitutes excessive or prolonged. XQx (talk) 08:15, 2 March 2010 (UTC)

This is important information that UCSF2014 might want to consider in working on this article. - - MrBill3 (talk) 10:30, 28 November 2013 (UTC)

Binge drinking[edit]

The article says:

  • People in adolescence who experience multiple withdrawals from binge drinking ...

By definition "binge drinking" is carried out from a period and then stops. How can you withdraw from "binge drinking"?-- (talk) 10:23, 1 July 2012 (UTC)

Contradictory language[edit]

"Some withdrawal symptoms can linger for at least a year after discontinuation of alcohol."

What is it? Do they last for at least a year? Can they last for up to a year? Can they last for longer than a year? I suspect it's the latter but as it is the sentence doesn't make any sense. -- (talk) 20:08, 6 February 2013 (UTC)

Unused refs[edit]

The refs below are not used in the article: moved here.[1] [2] [3] [4] [5] [6] Also their names are excessively long.

  1. ^ Malcolm R (2002). "The Effects of Carbamazepine and Lorazepam on Single versus Multiple Previous Alcohol Withdrawals in an Outpatient Randomized Trial". J Gen Intern Med. 17 (5): 349–55. PMC 1495040Freely accessible. PMID 12047731. doi:10.1046/j.1525-1497.2002.10201.x.  Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  2. ^ Little HJ (1991). "The benzodiazepines: anxiolytic and withdrawal effects". Neuropeptides. 19 Suppl: 11–4. PMID 1679209. doi:10.1016/0143-4179(91)90077-V.  Unknown parameter |month= ignored (help)
  3. ^ Funderburk FR (1978). "Residual effects of ethanol and chlordiazepoxide treatments for alcohol withdrawal". J Nerv Ment Dis. 166 (3): 195–203. PMID 205633. doi:10.1097/00005053-197803000-00005.  Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  4. ^ Addolorato G (2006). "Baclofen in the treatment of alcohol withdrawal syndrome: a comparative study vs diazepam". Am J Med. 119 (3): 276.e13–8. PMID 16490478. doi:10.1016/j.amjmed.2005.08.042.  Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  5. ^ Dissanaike S (2006). "An ethanol protocol to prevent alcohol withdrawal syndrome". J Am Coll Surg. 203 (2): 186–91. PMID 16864031. doi:10.1016/j.jamcollsurg.2006.04.025.  Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (|author= suggested) (help)
  6. ^ Roccatagliata G (1980). "Alcohol withdrawal syndrome: treatment with trazodone". Int Pharmacopsychiatry. 15 (2): 105–10. PMID 6108298.  Unknown parameter |coauthors= ignored (|author= suggested) (help)

- - MrBill3 (talk) 10:12, 22 November 2013 (UTC)

Peer Review[edit]

I sent this through email to the student editing this article and I am reposting here.

- So the main thing which I looked at was readability. The intro gave a good overview and I really liked the first section of the signs and symptoms (before progression).

-for the progression section, i'm not sure what it is supposed to communicate that was not said in the previous section (the general signs and symptoms section). I think those two sections can be melded into one, or just take out the progression completely.

- Break up the protracted withdrawal into at least two paragraphs so it's easier to read through.

-The treatment and prognosis sections were easy for me to read.

- A problem I am also having with other medical articles, is that the article is written for someone with some scientific background. I just can't picture the average patient at my county hospital reading this. But as i said i'm also having the same problem and i'm not sure how to deal with it. Eaamed (talk) 17:42, 12 December 2013 (UTC)


Lots of refs to support such as this one [1] Doc James (talk · contribs · email) (if I write on your page reply on mine) 05:22, 14 December 2013 (UTC)

I was debating this for a while. This is a problem in patients who abuse alcohol, but I don't actually believe it is part of alcohol withdrawal syndrome ie I believe Wernicke-Korsakoff syndrome can occur in patients who aren't undergoing withdrawal. I deleted the section because I didn't think it was part of withdrawal, but I'm not sure if I'm correct in that assumption? UCSF2014 (talk) 06:28, 14 December 2013 (UTC)
Yes the ref above explains the importance. Doc James (talk · contribs · email) (if I write on your page reply on mine) 00:21, 15 December 2013 (UTC)

NEJM review[edit]

doi:10.1056/NEJMra1407298 JFW | T@lk 11:44, 28 November 2014 (UTC)

External links modified[edit]

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Simpson, SA; Wilson, MP; Nordstrom, K (September 2016). "Psychiatric Emergencies for Clinicians: Emergency Department Management of Alcohol Withdrawal.". The Journal of emergency medicine. 51 (3): 269–73. PMID 27319379.  Doc James (talk · contribs · email) 01:28, 21 October 2016 (UTC)