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Take alcohol. Blood pressure 130/96 and pulse rate 110. Help quitting alcohol?

Dec 2014
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Practicing since : 2007
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I am going thru a turbulent time of unemployent, divorce (both our faults) and alcohol abuse. My BP is kind of high at 130/96 and pulse rate of 110. I exercise mountain biking everyday 12 miles. Could you please help me with quitting alcohol. I drink 5 large drinks a day and smoke 6-8 cigarettes a day, but have a very healthy vegan diet.
Posted Sun, 27 Oct 2013 in Smoking and Alcohol Addiction
Answered by Dr. Seikhoo Bishnoi 26 minutes later
Brief Answer:

Detailed Answer:
Welcome to XXXXXXX

You exercise daily and are having bad times because of unemployment and divorce. You are taking healthy diet but you take 4-5 large drinks daily and smoke 5-6 cigarettes daily and you want to quit taking alcohol.

See in any de-addiction program first thing that is must is to have enough motivation to quit. I would like to know what is the main reason that you want to quit? Whether it's your own decision or social pressure? In most cases individuals want to quit because of social pressure only. If you really want to quit then make up your mind to not to touch alcohol again.

We have to start with alcohol and then we can target cigarette smoking.

You are taking large amounts of alcohol so there is need to take some replacement drug to prevent withdrawal syndrome. Usually benzodiazepines like lorazepam, chlordiazepoxide are used in acute stages. These drugs keep the individual sedated and prevent serious withdrawal. Then the doses are decreased gradually and the drugs are stopped completely after 5 days. This critical period should be managed be a good psychiatrist.

There are many anti-craving drugs that are used to prevent relapse. Drugs like acamprosate are commonly used to decrease craving. The drugs should be taken for at least 6 months.

Apart from that start taking multi-vitamin capsules especially containing thiamine. Chronic alcoholics become deficient in thiamine and severe complications occurs.

These drugs if taken properly prevent serious withdrawal and help individual to maintain good health without alcohol. Consult a Psychiatrist for good opinion.

Thanks, if you have more questions you can ask again.
Above answer was peer-reviewed by
Follow-up: Take alcohol. Blood pressure 130/96 and pulse rate 110. Help quitting alcohol? 32 minutes later
Dear Dr. Bishnoi:

Thank you for your time and patience in replying to my queries.

The reason I need to stop alcohol is my own decision, but I am unable to as the stressors of my life at this point drives me towards consuming it as a solace, which I know is counterproductive the next day.

I need to get back to work and that's why I need to quit. I had quit smoking for 10 years, so I know I can do it cold XXXXXXX now, but alcohol I am unsure if I would be able to.

I will take your advise and see a specialist.

Thank you once again.
Answered by Dr. Seikhoo Bishnoi 11 hours later
Brief Answer:
Hello again

Detailed Answer:
Its very good that you are having enough motivation to quit alcohol. In such situation the de-addiction process becomes easy. Once you become off alcohol you can start again.

As you are taking heavy amounts so I would advise you to not to go cold XXXXXXX as this may precipitate acute withdrawal.

- One option is to reduce the amounts of alcohol intake and then stop completely by gradual tapering over 2-4 weeks. But this method is not a conventional method and is not properly successful. Best drugs used to prevent withdrawal are benzodiazepines and they are tapered over one week.

- Anti craving drugs like I have mentioned earlier work to reduce craving. These drugs also prevent long term withdrawal symptoms like anxiety, restlessness etc.

Hope this helps you, if you have more queries you can ask again.

Above answer was peer-reviewed by
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