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. 2018 May 5;8(4):460–470. doi: 10.1016/j.jceh.2018.04.012
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.