Benzodiazepines
If you or anyone you know uses benzos recreationally and do not have a prescription for them, there are withdrawal risks involved if you are unable to access your normal supply. In this case, what you should do is:
Immediately contact your GP and explain that you have been using benzos and you are unable to access them.
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- The GP will do an assessment with you and if they are able to confirm your use, they will issue you with a prescription to help you avoid benzodiazepine withdrawal symptoms.
- GPs are advised to commence the person on a maximum dose of 30 mgs per day in divided doses using 2mgs tablets. This should facilitate the patient remaining in self-isolation.
- It will be made clear to you and will be documented that this treatment is for the duration of the isolation only. However, a brief tapering prescription of daily dispensed meds might be considered on discharge-at the discretion of the prescribing GP.
Alcohol
If you have alcohol use disorder or have been drinking heavily you may have alcohol dependency or alcohol use disorder. It is very important if you are considering a detox or want to stop drinking altogether that it is very important to seek medical advice to prevent alcohol withdrawal symptoms. During the COVID-19 Crisis the following arrangements have been put in place with GPs.
People with alcohol use disorder may present with alcohol withdrawal symptoms. GPs are advised of the following:
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- The use of a benzodiazepine such as diazepam or chlordiazepoxide is recommended to manage alcohol withdrawals in the community.
- NICE guidelines advise the following: In a fixed-dose regimen, titrate the initial dose of medication to the severity of alcohol dependence and/or regular daily level of alcohol consumption.
For further support/guidance on alcohol contact:
Norah Byrne from Canal Communities Regional Addiction Service at: 086 806 0421
OR
Brendan Donohoe from Rialto Community Drug Team at: 01 454 0021.
During the crisis the Alcohol Education and Support Programme continues to offer group meetings and one-to-ones using smartphones and Zoom