veisalgia
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Introduction
from the Norwegian word kveis = 'uneasiness following debauchery' the Greek word algia = pain
Etiology
- occurs after consumption & complete metabolism of alcohol
Epidemiology
- occurs in 75% of individuals who drink to intoxication
Pathology
- occurs when blood alcohol levels are diminishing
- tends to peak as blood alcohol levels approach 0
- increased ADH & aldosterone levels
- ADH levels directly related to severity of hangover
- metabolic acidosis
- no good evidence the acetaldehyde plays a role
Clinical manifestations
- headache
- nausea
- dizziness
- xerostomia
- malaise
- fatigue
- inattention (sustained attention is impaired)[2]
- memory impairment[2]
- short-memory impairment
- long-term memory impairment
- psychomotor slowing[2]
- impairment of driving skills[2]
Management
- adequate hydration
- NSAIDs may reduce headache
- prickly pear cactus prophylactically may prevent some of the symptoms of hangover
More general terms
References
- ↑ Prescriber's Letter 11(11):65 2004 Treatments for Alcohol Hangover Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=201112&pb=PRL (subscription needed) http://www.prescribersletter.com
- ↑ 2.0 2.1 2.2 2.3 2.4 Gunn C, Mackus M, Griffin C, Munafo MR, Adams S. A systematic review of the next-day effects of heavy alcohol consumption on cognitive performance. Addiction 2018 Aug 25; PMID: https://www.ncbi.nlm.nih.gov/pubmed/30144191 https://onlinelibrary.wiley.com/doi/abs/10.1111/add.14404