Clinical Sobriety

[Mount Asclepius]

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Is there any good literature on using Precedex for alcohol withdrawal that anyone is familiar with? I’ve never seen any and yet the ICUs at several places I’ve worked at have been big into using Precedex for treatment of alcohol withdrawal. Back in residency I remember mainly using as we could extubate patients while still on Precedex. They all seemed to have prolonged courses and more delirium in my opinion than those that have received Phenobarbital or even other long acting benzodiazepines in my anecdotal experience. I’ve just had much better experience with using Phenobarbital.