ASSESSMENT OF DIAZEPAM LOADING DOSE THERAPY OF DELIRIUM TREMENS

The efficacy of the diazepam loading dose method of treatmentof delirium tremens was assessed in comparison with the traditionaltherapy. The experimental group and the control group comprised51 and 45 patients respectively. The clinical institute withdrawalassessment for alcohol (CIWA-A) scale was applied to assessthe intensity of the symptoms. Diazepam doses in the experimentalgroup oscillated from 40 to 210 mg (mean 86.9±47.2 mg).The control group was receiving diazepam and other psychotropicdrugs in divided doses. In the experimental group deliric symptomswere present from 2 to 24 h (mean 6.9±4.8 h), and inthe control group from 2 to 123 h (mean 33.8±25.7 h).The results show a large efficacy of the loading dose methodcorresponding to substantial reduction of the psychosis duration(fivefold in comparison to the control group). The method provedto be safe, with no significant complications.