REGIMES | DOSES |
Front loading |
With diazepam: aim is to achieve light sedation (patient still could be aroused with verbal stimulation) or to bring down CIWA-Ar <8 5 mg IV → 5 mg IV (repeat after 10 min) 10 mg IV → 10 mg IV (repeat after 10 min) 20 mg IV after 10 min 5–20 mg IV per hour [Dosing must be continued till the aim of light sedation or the CIWA-Ar score has been achieved] |
Symptom triggered | With diazepam 10–20 mg IV every 1–4 h → repeat doses till CIWA-Ar score <8 |
With lorazepam: 4 mg IV to be repeated every 10 min till either of the aims of front loading is achieved If severe delirium still persists even after 16 mg IV→ 8 mg IV bolus is to be administered |
|
Fixed dose | Not to be used for DT; Only for outpatient management of alcohol withdrawal syndrome |
CIWA-Ar: Clinical Institute Withdrawal Assessment-Alcohol (revised); IV: Intravenous.