A 43 year old high profile attorney sees apsychiatrist with expertise - ProProfs
     

A 43-year-old high-profile attorney sees a psychiatrist with expertise in addiction medicine. He explains that he has recently received his third drunk driving citation and fears losing his license to practice unless he stops drinking altogether. He says he just cant stop once he starts. He tells the physician that he doesnt have time to attend Alcoholic Anonymous and wants a pill. The physician explains that there is something that might work if the patient is truly serious. What agent is the physician considering?



A. Lorazepam
B. Flumazenil
C. Naloxone
D. Disulfiram
E. Carbamazepine

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1 Answer

John Smith

John Smith

Answered on Sep 08, 2016

Disulfiram-the answer is d. disulfiram is an inhibitor of aldehyde dehydrogenase, which blocks the breakdown of acetaldehyde to acetate during the metabolism of alcohol. the buildup of acetaldehyde results in flushing, tachycardia, hypertension and nausea to invoke a conditioned response to avoid alcohol ingestion. lorazepam is useful in the prevention of seizures as a result of alcohol withdrawal, whereas carbamazepine is used should they develop. flumazenil is used for benzodiazepine overdose and naloxone for opioid overdose.
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