Ensure patient and staff safety, airway protection if acutely agitated or seizing<unk> s
Withdrawal from high-potency<unk> s (e.g. alprazolam) may require higher doses of traditional benzos like diazepam to achieve clinical effect
Consider substituting shorter half-life drugs with equivalent dose of diazepam
Equivalent diazepam dose = triazolam dose x 20 = alprazolam dose x 10 = lorazepam dose x 5
After acute symptoms controlled, can prescribe gradual benzo taper
One taper strategy: decrease dose by 25% for first week, 25% second week, then by 12.5% for subsequent weeks
Consider neurology consult if patient was using benzos for seizure control (may need further antiepileptic management)
Withdrawal from high-potency<unk> s (e.g. alprazolam) may require higher doses of traditional benzos like diazepam to achieve clinical effect
Consider substituting shorter half-life drugs with equivalent dose of diazepam
Equivalent diazepam dose = triazolam dose x 20 = alprazolam dose x 10 = lorazepam dose x 5
One taper strategy: decrease dose by 25% for first week, 25% second week, then by 12.5% for subsequent weeks
Benzodiazepine withdrawal
Toxic alcohols
Opioid withdrawal
Ethanol
Cocaine withdrawal
Ethylene glycol
Alcohol withdrawal
Methanol