15th February 2025

A 48-year-old man is admitted with a distended abdomen and related discomfort.

A 48-year-old man is admitted with a distended abdomen and related discomfort. His 4AT score is 10, as he is newly drowsy, disorientated to place and unable to complete the attention task. His partner reports he was not like this 2 days ago. He does not take any regular medications. His partner reports that the patient has ongoing alcohol intake of 30 units/day.

His blood tests show the following:

Hb 108 g/L (130-180)
Plt 55 x10⁹/L (140-400)
Bilirubin 164 µmol/L (<21)
Alb 20 g/L (35-50)
ALP 295 IU/L (30-130)
ALT 140 IU/L (<41)
PT 25 secs (10-14)

Which of the following is the most appropriate drug regimen to support his alcohol withdrawal?

Select the SINGLE most appropriate option from the list below. Select ONE option only.