LAUSR

A 21-year-old unmarried male patient presented with complaints of vomiting and abdominal pain for the past 8 months. Following examination and investigations along with endoscopic evaluation, he was diagnosed with a duodenal stricture causing subacute intestinal obstruction. During the pre-anaesthetic evaluation, the history of dicyclomine addiction was elicited. He was consuming dicyclomine 10 mg tablets 5–6 times daily for the past 4 years. There was no history of any other drug abuse or addiction and any de-addiction treatment for the same. On examination, tachycardia (126/min) and mydriasis were the positive findings. After a psychiatric consultation, the drug was stopped and tablet lorazepam 2 mg was initiated once daily. During the treatment, the patient exhibited mild withdrawal symptoms and craving for the drug which settled with sedatives. After the appropriate optimisation of metabolic status, the patient was posted for gastrojejunostomy.