Alcohol , consider Barbiturates

Monitoring Perform baseline and follow-up LFTs (10 to 14 days) to detect hepatic dysfunction resulting from therapy. Perform a CBC and serum chemistries. Dependence and addiction Alcoholism may accompany or be followed by dependence on narcotics or sedatives. Barbiturates have been coadministered with disulfiram without untoward effects, but consider the possibility of initiating a new abuse. 

Barbiturates and barbiturate-like drugs, such as chloral hydrate, although effective hypnotics, are considered far less safe than BZDs in terms of tolerance, interaction with alcohol, and lethality in overdose. Therefore, their use is not generally recommended. 

The main drugs in this section are the barbiturates which can be considered as dry drink , and the withdrawal effects are very similar to the withdrawal from alcohol. Full-blown delirium tremens and epileptic fits can be observed and will need, usually, in-patient management and close supervision and sedation. 

Opium is a drug today that rarely comes to the West in its pure form. Occasionally, however, you will see it on the streets for sale at about the same price as hashish, maybe a little more. It s not as quickly addictive as it s made out to be, at least not in terms of what we now consider addictive, talking about heroin, barbiturates, and alcohol. It takes a long time to get strung out on opium. Though it s legally a class A narcotic, smoking the type of opium that is usually found in the West... 

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