TOPICS: Alcohol, cns depressant, emotional lability, coma, serum ggt, gamma glutamyltransferase, ast>alt 2:1, thiamine deficiency, exacerbate porphyria, acute and chronic pancreatitis, gout, slurred speech, ataxia, folate deficiency, blackouts, avoid with metronidazole and griseofulvin, disulfiram like reaction, decreased rem sleep, decreased delta wave sleep (n3), tremors, insomnia, diaphoresis, agitation, gi upset, 3-36 hours, withdrawal seizures, 6-48 hours, hallucinations (usually auditory), 12-48 hours, delirium tremens, 48-96 hours, benzodiazepines, disulfiram, acamprosate, naltrexone
