title: Outpatient detoxification of the addicted or alcoholic patient.
abstract: Outpatient detoxification of patients with alcohol or other drug addiction is being increasingly undertaken. This type of management is appropriate for patients in stage I or stage II of withdrawal who have no significant comorbid conditions and have a support person willing to monitor their progress. Adequate dosages of appropriate substitute medications are important for successful detoxification. In addition, comorbid psychiatric, personality and medical disorders must be managed, and social and environmental concerns need to be addressed. By providing supportive, nonjudgmental, yet assertive care, the family physician can facilitate the best possible chance for a patient's successful recovery.
authors.affiliation: Department of Family Medicine at the University of Tennessee College of Medicine, Chattanooga 37403, USA.
authors.forename: C D
authors.initials: CD
authors.lastname: Prater
authors.forename: K E
authors.initials: KE
authors.lastname: Miller
authors.forename: R G
authors.initials: RG
authors.lastname: Zylstra
mesh_terms: D000430:Alcohol Withdrawal Delirium / Q000175:diagnosis / Q000188:drug therapy*; D000435:Alcoholic Intoxication / Q000175:diagnosis / Q000188:drug therapy*; D000553:Ambulatory Care; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D002707:Chlordiazepoxide / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004334:Drug Administration Schedule; D004347:Drug Interactions; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008140:Lorazepam / Q000627:therapeutic use; D010076:Oxazepam / Q000627:therapeutic use; D010353:Patient Education as Topic; D010634:Phenobarbital / Q000627:therapeutic use; D012720:Severity of Illness Index; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000188:drug therapy*; D011795:Surveys and Questionnaires; D013664:Teaching Materials
chemical_list: D014151:Anti-Anxiety Agents; D006993:Hypnotics and Sedatives; D010076:Oxazepam; D002707:Chlordiazepoxide; D008140:Lorazepam; D010634:Phenobarbital