Question

A 48-year-old with alcohol withdrawal (CIWA-Ar 18) has cirrhosis (elevated INR, bilirubin). What regimen is preferred?

Accepted Answer

Symptom-triggered lorazepam dosing based on CIWA-Ar

Answer

Diazepam 20 mg fixed-schedule every 6 hours regardless of symptoms

Answer

Haloperidol monotherapy for agitation and withdrawal

Answer

Phenobarbital monotherapy in all patients

Answer

Clonidine monotherapy for autonomic symptoms

Practice question

A 48-year-old with alcohol withdrawal (CIWA-Ar 18) has cirrhosis (elevated INR, bilirubin). What regimen is preferred?