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A Comparison of Lorazepam and Diazepam in the Treatment of Alcohol Withdrawal

Not Applicable
Completed
Conditions
Alcohol Withdrawal
Interventions
Registration Number
NCT00523185
Lead Sponsor
Stanford University
Brief Summary

The purpose of this study is to compare the efficacy of two commonly used medications in the treatment of alcohol withdrawal, diazepam and lorazepam.

Detailed Description

Despite the frequent use of benzodiazepines for the treatment of alcohol withdrawal, studies comparing the efficacy of long and short half-life benzodiazepines in the treatment of alcohol withdrawal have shown mixed results. Due to the conflicting nature of published reports, clinicians have no clear indication as to which type of agent is preferable. The purpose of this study is to compare the efficacy of two commonly accepted medications in the treatment of alcohol withdrawal, diazepam and lorazepam, which are long and short half-life benzodiazepines, respectively.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
55
Inclusion Criteria
  • Clinical diagnosis of alcohol withdrawal
  • History of alcohol use within 24 hours
  • Ability to consent to participate in the study
Exclusion Criteria
  • Unwillingness to participate in the study
  • Active abuse of other CNS depressants
  • Acute intoxication with a CNS activating agent
  • Severe hepatic dysfunction
  • Pregnancy
  • History of dementia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1Lorazepam-
2Diazepam-
Primary Outcome Measures
NameTimeMethod
The primary outcome measures include serial measures of vital signs and scores on the Clinical Institute Withdrawal Assessment for Alcohol-Revised scale (CIWA-Ar), a widely used scale that monitors alcohol withdrawal symptoms.one to two weeks
Secondary Outcome Measures
NameTimeMethod
Secondary outcome measures include total benzodiazepine use.one to two weeks

Trial Locations

Locations (2)

Palo Alto Veterans Affairs Hospital System

🇺🇸

Palo Alto, California, United States

Stanford Hospital and Clinics

🇺🇸

Stanford, California, United States

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