MAT for Alcohol Withdrawal
Alcohol withdrawal can bring seizures and serious health risks. Our doctors may use benzodiazepines such as Librium or Ativan to lower seizure risk and calm anxiety. The Clinical Institute Withdrawal Assessment for Alcohol (CIWA‑Ar) scale is used to determine medication dosing based on symptom severity. Benzodiazepines are the preferred medication for treating moderate to severe alcohol withdrawal syndrome. The CIWA protocol guides benzodiazepine dosing, administering diazepam 5‑20 mg or lorazepam 1‑2 mg based on withdrawal severity. These medicines help your brain and nervous system adjust as alcohol leaves your body. We check your response and adjust doses if needed to keep you safe.
The FDA has approved three medications for treating alcohol use disorder: disulfiram, oral naltrexone, naltrexone IM, and acamprosate. Naltrexone has been shown to reduce drinking days, rates of relapse to heavy drinking, hospital readmissions, and emergency department utilization rates.