Question

A 52-year-old man with alcohol dependence is admitted for detoxification. He is at risk of Wernicke's encephalopathy. What is the most appropriate prophylactic regimen?

Accepted Answer

IV thiamine before glucose administration

Answer

Oral thiamine after reintroducing carbohydrates

Answer

IV glucose first, then thiamine

Answer

No thiamine is necessary if asymptomatic

Answer

High-dose vitamin C only

Practice question

A 52-year-old man with alcohol dependence is admitted for detoxification. He is at risk of Wernicke's encephalopathy. What is the most appropriate prophylactic regimen?