Fixed Dose Protocol Can valium build up in your system dosage if over-medication occurs Monitoring by reliable friend or family member Chlordiazepoxide Librium Protocol ciwa agent Prescribe Chlordiazepoxide Librium 25 mg tabs Option 1 Day 1: Librium mg every 6 hours scheduled Day 2: Librium mg every 8 hours scheduled Day 3: Librium mg every 12 hours scheduled Day 4: Librium mg at bedtime scheduled Day 5: Librium mg at bedtime ciwa Option 2 Day 1: Librium valium dosing for mg every hours Day 2: Librium 25 mg every 6 hours Ciwa 3: Librium 25 mg every 12 hours Day 4: Librium 25 mg at night Option 3 Librium mg ciwa 8 hours for 3 days Consider for emergency department discharge lower risk Patient follow-up with primary care or addiction medicine Diazepam Valium Protocol Prescribe Diazepam 10 mg tabs 11 Day 1: Valium 10 mg every 6 hours scheduled Day 2: Valium 10 mg every 8 hours scheduled Day 3: Valium 10 mg every 12 hours scheduled Day 4: Valium 10 mg at bedtime scheduled Day 5: Ativan "ciwa" mg every 8 hours scheduled Day 2: Ativan 2 mg every 8 hours scheduled Day 3: Ativan 1 mg every 8 hours scheduled Day 4: Ativan 1 mg every 12 hours scheduled Xanax 0 25 mg nebenwirkungen 5: Ativan 1 mg at bedtime scheduled.

Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. References Orman and Hayes EM: Related links to external sites from Bing. Content is updated monthly with systematic literature reviews and conferences. Librium 25 mg every 12 hours on days Immediate evaluation e. {PARAGRAPH}These images are a random sampling from a Bing search on the term "Alcohol Detoxification in Ambulatory Setting.

Contraindications Long-term intake of large amounts of Alcohol Does valium work for vertigo laboratory findings Urine Drug Screen positive for other substances Acute illness Comorbid illness necessitating inpatient management Serious cardiopulmonary conditions Uncontrolled Diabetes Mellitus Acute moderate to severe infectious illness Serious psychiatric illness e.

Emergency Department or prescribing medical provider Stage 3 Alcohol Withdrawal DTs Seizure s Fever Hallucination s Disorientation Following acute withdrawal protocol Refer to long term treatment Consider prescribing agents to maintain abstinence e. {PARAGRAPH}. Search Bing for all related images. Mental Health - Chemical Dependency Pages.

Patients should address specific medical concerns with their physicians. Indications Contraindications Labs Ciwa Fixed Dose Protocol Precautions: Ciwa supervision References Extra: Related Bing Images Extra: Indications Alcohol Dependence with tolerance and withdrawal risk. Search other sites for 'Alcohol Detoxification in Ambulatory Setting'. Back Links pages that link to this page.

Ciwa Topics in Chemical Dependency. Although access to this website is not restricted, the information found here is intended for use by medical providers. Librium every 4 hours prn Day 2: Ciwa every 6 hours prn Day 3: Librium every 6 hours prn Day 4: Librium every 12 hours prn Day 5: Librium every 12 hours prn Diazepam Valium Protocol with prn based on indications listed above Prescribe Diazepam 10 mg tabs 18 Day 1: Valium 10 mg every 4 hours prn Day 2: Valium 10 dosing for valium every 6 hours prn Day 3: Valium 10 mg every 6 hours prn Day 4: Valium 10 mg every 12 hours prn Day 5: Lorazepam while on lexapro 10 mg every 12 hours prn Lorazepam Ativan Protocol with prn based on indications listed above Prescribe Lorazepam 1 mg tabs 15 Day 1: Ativan 2 mg every 6 hours prn Day 2: Ativan 2 mg every 6 hours prn Day 3: Ativan 1 mg every 8 hours prn Day 4: Ativan 1 mg every 12 hours prn Day 5: Ativan 1 mg every 12 hours prn?

Several decades ago, if you tried to admit a patient with alcoholism to monitor and treat withdrawal, you risked losing both your reputation and your hospital privileges.

The scale should be administered when:. If history is not clear, observe for signs of withdrawal as some with dependent drinking will deny it.