Double-blind controlled trial comparing carbamazepine to oxazepam treatment of alcohol withdrawal

Am J Psychiatry. 1989 May;146(5):617-21. doi: 10.1176/ajp.146.5.617.

Abstract

Of 86 alcoholic men with severe alcohol withdrawal who began a double-blind controlled study comparing carbamazepine, 800 mg/day, to oxazepam, 120 mg/day, 66 (carbamazepine, N = 32; oxazepam, N = 34) completed the 7-day trial. In general, the drugs were found to be equally efficacious in treating the withdrawal syndrome and not significantly different with respect to side effects. The subjects taking oxazepam had an increase in global psychological distress from day 3 to day 7, and those taking carbamazepine exhibited a decline. The study suggests that carbamazepine is as effective and safe as benzodiazepine treatment for alcohol withdrawal.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Alcohol Withdrawal Delirium / drug therapy
  • Alcohol Withdrawal Delirium / psychology
  • Carbamazepine / therapeutic use*
  • Clinical Trials as Topic
  • Double-Blind Method
  • Ethanol / adverse effects*
  • Hospitalization
  • Humans
  • Male
  • Outcome and Process Assessment, Health Care
  • Oxazepam / therapeutic use*
  • Psychiatric Status Rating Scales
  • Random Allocation
  • Substance Withdrawal Syndrome / drug therapy*
  • Substance Withdrawal Syndrome / psychology

Substances

  • Carbamazepine
  • Ethanol
  • Oxazepam