Hello dear
Understand your concern.
Your father required psychiatric consultation and
rehabilitation.
Explain him about hazards of alcohol by pictures, story and role play.
Do not keep alcohol in near by him.
Family support is must needed.
After withdraw of alcohol, maintenance pahse must required to reduce withdrawl symptoms
I think he should not take the dislufiram , as his liver is already damage.
Disulfiram is used as adjuvant for maintaining abstinence in chronic
alcohol dependence.
Disulfiram prevents the breakdown of alcohol by irreversibly blocking the enzyme acetaldehyde dehydrogenase.
Side effects are:
facial flushing, headache, palpitations,
tachycardia, dyspnoea, nausea and vomiting.
It last for several hours with peak levels occurring at 8-12 hours.
The action lasts for 7 days after the last dose
But not the contraindication of disulfiram:
Consumed alcohol in the last 24hrs
Recent MI, angina, cardiac failure and
uncontrolled hypertension History of CVA
Severely deranged LFT –
GGT>3X normal reference limit (f=120U/L, m=180U/L)
- Bilirubin>30μmol/l
- ALT >150U/L
Known hypersensitivity
So i Think you should do liver test and if it is deranged as above, stop the disulfiram.
Give following treatment:
Counseling
Individual and group therapy
Cognitive-behavioral therapy
Motivational interviewing
Motivational enhancement therapy
Couples and family therapy
Drugs:
Benzodiazepines drug: anti-anxiety drugs used to treat
withdrawal symptoms Naltrexone/ Acamprosate reduces the craving for alcohol.
topiramate and
gabapentin can be used
Diet:
Give mutivitamin tablet mostly Vitamin B1, anti oxidant tablet
Healthy calorie rich diet. Diet rich in complex
carbohydrate.
Avoid fatty food.
Avoid people and places that make drinking the norm
Join a self-help group
Enlist the help of family and friends
Make new hobby or volunteer work with church or civic groups.
Start exercising: brisk walking, musical therapy, breathing exercise
Hope this may help you.
Best regards
Dr. Sagar