I was taught to start with Ativan while checking liver function with a test like a bili or INR. If these were normal then you need to switch over to something longer acting like valium or librium. A normal liver in a patient with severe alcoholism will metabolize Ativan far too fast to ever catch up. I would love to see what would happen if someone studied this approach vs the one talked about on this episode with Ativan, Phenobarb and Haldol.
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Nigel M., Dr - August 29, 2011 4:35 AM
Just wondering where the option to download as a podcast/ipod version is for this month
Danielle W. - September 28, 2011 1:23 PM
great job
javad k., md - July 25, 2013 6:20 PM
I was taught to start with Ativan while checking liver function with a test like a bili or INR. If these were normal then you need to switch over to something longer acting like valium or librium. A normal liver in a patient with severe alcoholism will metabolize Ativan far too fast to ever catch up. I would love to see what would happen if someone studied this approach vs the one talked about on this episode with Ativan, Phenobarb and Haldol.