Sedative Hypnotics Withdrawal


Pathophysiology

Symptoms

Physical Exam

Diagnostic testing

Treatment

  1. ABCs, IV, O2, monitor
  2. Substitute drugs of long duration of action (benzos or phenobarbital) for a few days & gradually wean after 2-3 wks
  3. Hyperactivity, seizures (see Alcohol Withdrawal)
  4. Thiamine 100 mg qD, glucose, MVI

Disposition

  1. Admit
  2. Discharge
  3. Drug counseling