Commence initial dose at ½ determined initial dose, to assess tolerance. [eg if estimated to be 80mg per day = 20mg QID then initial dose would be 10mg]. This could be repeated in 2 hours if no sedation evident, then continue with previously determined QID regimen.
If the patient becomes sedated to the extent that they can not stay awake [sedation score 2 or more] medication should be with-held.
Reduce the daily dose by 10mg (for example 5mg bd) each day.
Once the patient’s daily dose is less than 50mg, they can be discharged and their medications continued on a tapering basis as per outpatient withdrawal as long as restricted dispensing from the community pharmacy is arranged. [see below].
If the patient is also taking/being administered other CNS depressants such as opioids, gabapentinoids, antipsychotics or tricyclic antidepressants then consider halving the doses above, and increasing observations to 2 hourly, at least initially. Seek advice from the Drug and Alcohol Clinical Advisory Service 08 7087 1742.
If the patient has been using less than 50mg diazepam equivalent then they can be managed in an outpatient setting.
If the patient is also taking/being administered other CNS depressants such as opioids, gabapentinoids, antipsychotics or tricyclic antidepressants then seek advice from the Drug and Alcohol Clinical Advisory Service 08 7087 1742.
Benzodiazepines: Information for GPs (PDF 163KB): designed to assist doctors in the management of patients ceasing benzodiazepine use and should be read in conjunction with the patient resource Benzodiazapines: Reasons to stop and stopping use.
Telephone: (08) 7087 172 from 8:30am to 10:00pm, seven days/week including public holidays or email your enquiry to HealthDACASEnquiries@sa.gov.au Out of
these hours, medically urgent calls from a hospital based Medical
Consultant or country hospital medical officer/GP will always receive a response.
This services does not provide proxy medical cover and cannot assume responsibility for direct patient care.
You can search through to find related information.
Benzodiazepines: Information for GPs
PDF 94 KB
Benzodiazepines: Reasons to stop and stopping use
PDF 362 KB
Risks associated with benzodiazepines
PDF 97 KB
Treatment options for alcohol or other drug problems
Information about the various treatments options people can consider for alcohol or other drug problems
Alcohol and Drug Information Service (ADIS)
Information about the Alcohol and Drug Information Service (ADIS), which includes information about the Needle Clean Up Hotline and Gambling Helpline.
Harmful drug use - drug types
The individual characteristics of commonly misused substances and harmful drug use - drug types. Includes common names used
Drug and Alcohol Services
Drug and Alcohol Services SA (DASSA) provides a range of alcohol and other drug information services in South Australia. Get help with drug or alcohol problems.
Substance withdrawal management
Describes appropriate processes for the management of substance withdrawal.
Coronavirus Disease (COVID-19)
Latest updates and advice for the Community, Health Professionals and Business and Industry in SA.
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