Inpatient alcohol withdrawal management

Indications for inpatient management

Inpatient management is indicated if the person:

  • has had a previous severe withdrawal
  • has had previous seizures as a result of withdrawal
  • has had previous delirium as a result of withdrawal
  • has other physical health problems such as heart disease or severe liver disease
  • has had several attempts at withdrawing at home unsuccessfully.
  • Is dependent on several substances
  • has unstable accommodation
  • does not have access to an appropriate support person to monitor them and assist with medication administration.

The mainstays of alcohol withdrawal management remain:

  • Regular monitoring and escalation of care should the withdrawal not be adequately controlled.
  • Benzodiazepines to reduce withdrawal.
  • Thiamine parenterally initially then oral to reduce the risk of Wernicke-Korsakoff's.

See the SA Health Guideline for the management of people at risk of alcohol withdrawal in acute hospitals for detailed advice. This guideline is for use across all SA Health hospitals.

Further information and advice

Alcohol and Drug Information Service (ADIS)

1300 13 1340

ADIS is a confidential telephone information, counselling, and referral service for people dealing with their own or another’s alcohol or drug problem. ADIS operates 8.30 am to 10.00 pm, 7days per week.

Drug and Alcohol Clinical Advisory Service (DACAS)

Telephone (08) 7087 1742 — 24 hours 7 days/week including public holidays or email your enquiry to: HealthDACASEnquiries@sa.gov.au.

DACAS provides a telephone and email service for South Australian health professionals seeking clinical information and clarification around clinical procedures, guidelines and evidence-based practice.

This service does not provide proxy medical cover and cannot assume responsibility for direct patient care.