Table 3.
Recommended regimens for prophylactic vitamin supplementation in alcohol misusers.
Situation | Regimen |
> Well nourished > No history of dietary neglect > Adequate dietary intake > No neuropsychiatric symptoms/signs |
No need for additional supplements but monitor |
> Mild malnutrition > At risk of malnutrition > Compensated cirrhosis > Acute alcohol withdrawal |
Oral thiamine hydrochloride: 100 mg tds for 2–4 weeks |
> Moderate/severe malnutrition > Significant dietary neglect > Poor/negligible dietary intake > Peripheral neuropathy > Decompensated cirrhosis > Severe acute withdrawal |
IV Pabrinex® bd for three days then oral supplementation for 2–4 weeks |