In alcohol dependant adults who are drinking dependently, how effective are multivitamins or nutritional or calorific supplements, compared to any other intervention, in preventing or reducing malnourishment?
No high quality, relevant research evidence was identified to
answer this question. More research is needed in order to
understand this area.
NICE guidelines do not comment on the use of multivitamins,
nutritional or calorific supplements for malnourishment in alcohol
dependant adults. However, the following recommendations are made
With regards to Wernicke's encephalopathy:
"Offer prophylactic oral thiamine to harmful or dependant
-if they are malnourished or at risk of malnorishment or if they
have decompendated liver disease or if they are in acute withdrawal
or before and during a planned medically assisted alcohol
Offer prophylactic parental thiamine followed by oral thiamine to
harmful or dependant drinkers:
-if they are malnourished or at risk or malnourishment or if they
have decomensated liver disease".
"Assess the nutritional requirements of people with acute
alcohol-related hepatitis. Offer nutritional support if needed and
consider using nasogastric tube feeding."
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Document link to the right.
ii. For related NICE and SIGN guidelines, follow the
links below. (If applicable)
iii. To view the Cochrane review which is included in
this summary, click Related Documents, below. (If