Four in-patients with moderate alcohol-withdrawal syndromes benefited from
treatment with gabapentin administered in an add-on fashion to clomethiazol
e. In comparison with the amount of clomethiazole required as estimated usi
ng a specially developed score during previous detoxifications of these pat
ients at our hospital, gabapentin (400 mg q.i.d.) clearly reduced the amoun
t of clomethiazole needed now Gabapentin, an anticonvulsant with favorable
pharmacokinetic properties and tolerability, and with no known risk of depe
ndence, may therefore be a useful new drug in the treatment of alcohol with
drawal. We believe that the potential value of gabapentin in alcohol withdr
awal deserves further controlled studies.