Question

A 50-year-old man with chronic alcoholism presents with confusion, ataxia, and ophthalmoplegia. According to NICE/BNF guidance, what is the appropriate initial management?

Accepted Answer

High-dose parenteral thiamine (Pabrinex)

Answer

Oral thiamine supplementation only

Answer

IV glucose solution

Answer

Low-dose vitamin B complex

Answer

Oral chlordiazepoxide

Practice question

A 50-year-old man with chronic alcoholism presents with confusion, ataxia, and ophthalmoplegia. According to NICE/BNF guidance, what is the appropriate initial management?