RT Book, Section A1 Gold, Jeffrey A. A1 Nelson, Lewis S. A2 Hoffman, Robert S. A2 Howland, Mary Ann A2 Lewin, Neal A. A2 Nelson, Lewis S. A2 Goldfrank, Lewis R. SR Print(0) ID 1108432874 T1 Ethanol Withdrawal T2 Goldfrank's Toxicologic Emergencies, 10e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 9780071801843 LK accesspharmacy.mhmedical.com/content.aspx?aid=1108432874 RD 2024/04/18 AB The medical problems associated with alcoholism and alcohol withdrawal were initially described by Pliny the Elder in the first century B.C. In his work Naturalis Historia, the alcoholic and alcohol withdrawal were described as follows: “…drunkenness brings pallor and sagging cheeks, sore eyes, and trembling hands that spill a full cup, of which the immediate punishment is a haunted sleep and unrestful nights. …”54 Initial treatments as described by Osler at the turn of the 20th century were focused on supportive care, including confinement to bed, cold baths to reduce fever, and judicious use of potassium bromide, chloral hydrate, hyoscine, and, possibly, opium.20