EM:RAP 2021 February Canadian Edition

Alessandro F. -

Can you prescribe BOTH Gabapentin and Naltrexone or is it one or the other?
Is Diazepam 20mg q1h if CIWA > 10 given PO or IV?

Haroun Z., MD -

Great question! Please see below for reply :)

Hasan S. -

1. I tend to start both gabapentin and naltrexone in the emerg. They have very different effects and I'm using them for different reasons. Gabapentin to treat withdrawal symptoms, reduce cravings. Naltrexone as an anti-craving and something that if they return to drinking (which is frequent in our emerg population), their desire to drink heavy amounts will hopefully reduce.
2. I generally give the diazepam po unless the person is having lots of nausea or vomiting, in which case I'll give IV

Alessandro F. -

Thanks so much! Practice changing approach. Really appreciate it

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EM:RAP 2021 February Full episode audio for MD edition 214:23 min - 229 MB - M4AEMRAP 2021 February PA Edition PA Edition 60:19 min - 83 MB - MP3EM:RAP 2021 February German Edition Deutsche 97:11 min - 134 MB - MP3EM:RAP 2021 February Canadian Edition Canadian 16:19 min - 23 MB - MP3EMRAP 2021 February Farsi Edition Farsi 191:42 min - 263 MB - MP3EMRAP 2021 February Spanish Edition Español 43:32 min - 60 MB - MP3EMRAP 2021 February French Edition Français 23:52 min - 33 MB - MP3EMRAP 2021 February Aussie Edition Australian 0:49 min - 1 MB - MP3EM:RAP 2021 02 February Written Summary 604 KB - PDFEM:RAP 2021 February Board Review Answers 152 KB - PDFEM:RAP 2021 February Board Review Questions 109 KB - PDFEM:RAP 2021 February MP3 Files 245 MB - ZIP

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