[Gamma-hydroxybutyrat (GHB)-dependence and -withdrawal in the case of previous alcohol dependence].

Abstract:

OBJECTIVE:gamma-Hydroxybutyrat (GHB) is used medically for narcolepsy and as a narcotic. It is also a rare illegal drug. In this case report the development of a GHB-dependency against the background of a primary alcohol dependency is described. METHODS:Based on established alcohol withdrawal scales (AWSS by Wetterling, CIWA) and neuropsychological testing procedures (CGI, GAF, SKID-II, PISQ, analog-scale for Craving), the initial situation, the development of psychopathological findings, and the course of detoxification were shown. RESULTS/CONCLUSION:The combined detoxication of GHB and alcohol was successfully finished by a reduction schedule of diazepam. Withdrawal-assessment scales for alcohol were helpful, but show limitations for GHB-withdrawal symptoms. The patient suffers, according to ICD-10, from a multiple drug dependence (alcohol, GHB, abstinence from amphetamines). Symptoms of insomnia, major depression, and generalized anxiety disorder can be associated with the use of GHB.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Richter C,Romanowski A,Kienast T

doi

10.1055/s-0028-1090089

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

345-7

issue

7

eissn

0303-4259

issn

1439-0876

journal_volume

36

pub_type

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