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What's on Tap: A Review of Best Practices and Novel Treatment Regimens for Inpatient Management of Acute Alcohol Withdrawal - On Demand 2025
Amidst the pace of inpatient care, alcohol withdrawal can escalate quickly. In this on‑demand review, clinicians recognize its prevalence, understand pathophysiology, and identify patients at high risk for severe courses. We review evidence‑based benzodiazepine strategies and predict when symptom‑triggered or front‑loading fits. Then we critique benzodiazepine‑sparing options—alpha‑agonists, anticonvulsants, phenobarbital—to sharpen practice and deliver safer, steadier care.
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Availability
On-Demand
Expires on May 06, 2028
Credit Offered
0.75 CME Credit
0.75 ABIM-MOC Point
0.75 Participation Credit
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Learning Objectives
After completing this activity, learners should be able to:
  1. Recognize that alcohol withdrawal is an incredibly common issue in hospital medicine but the available evidence to guide treatment decisions is significiantly limited compared to other such common issues.
  2. Understand that the use of benzodiazepines remain the most evidenced based and recommended approach for management of alcohol withdrawal. As needed benzodiazepines based on symptoms is the recommended approach in low risk patients and front loading should be used in patient's who are high risk for severe withdrawal.
  3. Identify the problems associated with use of benzodizepines that have led many institutions to trial novel benzodiazepine sparing regimens for treatment of alcohol withdrwawal. Alternative medications gaining popularity include alpha agonists, anticonvulsants, and phenobarbital.
Faculty
  • Samuel Hundert

Faculty Disclosures
The individuals in control of content for this activity have no relevant relationships with ACCME-defined ineligible companies to disclose unless listed here. Any relevant relationships were mitigated prior to the start of this activity.

 

Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Credit Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75  MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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