What is your medication of choice when considering outpatient alcohol withdrawal management (diazepam vs chlordiazepoxide vs lorazepam)?

While benzodiazepines such as chlordiazepoxide, diazepam, and lorazepam remain the mainstay of treatment for acute alcohol withdrawal syndrome (AWS), their use in the outpatient setting is generally inappropriate for patients with Alcohol Use Disorder (AUD)—except in narrowly defined, low-risk scena...

I like to reference the ASAM alcohol withdrawal treatment guidelines which are very comprehensive and good about all the clinical and social considerations to make when deciding if ambulatory withdrawal is an option for patients (given their medical co-morbidities, history of prior severe/complicate...

Working at Jackson Memorial Hospital in Miami, we used Librium. It’s not as addictive as Valium, and you can easily taper a lot of people with a scheduled order of 50 mg PO TID, then BID, then, on the third day, give them one dose. So, a total of a 3-day detox. More complex, obviously, you’re going ...

Chlordiazepoxide is my number 1; I have done it as an inpatient multiple times, would not recommend it as an outpatient procedure.