![]() ![]() Prior to cardioversion for the relief of anxiety and tension and to diminish the patient's recall of the procedure.Adjunct prior to endoscopic procedures if apprehension, anxiety, or acute stress reactions are present and to diminish recall of the procedures.The IV route is preferred, but IM administration may be used if IV administration is not possible.Narcotic dosing should be reduced by approximately 33%, and may be omitted in some patients.IM: 5 to 10 mg IM once 30 minutes prior to the procedure IV titration: The IV dose should be titrated to desired sedative response (e.g., slurring of speech) with slow administration immediately before the procedure.IV: Usually less than 10 mg, but some patients require up to 20 mg IV, especially when narcotics are omitted Usual Adult Dose for Endoscopy or Radiology PremedicationĬardioversion: 5 to 15 mg IV once 5 to 10 minutes before the procedure Adjunctive treatment for convulsive disorders.Management of selected, refractory patients with epilepsy on stable regimens of antiepileptic drugs who require intermittent use of this drug to control bouts of increased seizure activity.Maximum Frequency: May be used to treat up to 1 seizure episode every 5 days, and no more than 5 episodes/month.If necessary, a second dose of 0.2 mg/kg may be given rectally 4 to 12 hours after the first dose.A 2.5 mg rectal dose may be given as a partial replacement if patients expel a portion of the initial dose Initial dose: 0.2 mg/kg rectally, rounded upward to the next available dose.Use: Adjunctive treatment for the relief of skeletal muscle spasm due to reflex spasm to local pathology, spasticity caused by upper motor neuron disorders, athetosis, and stiff-man syndrome (e.g., inflammation of the muscles/joints secondary to trauma, cerebral palsy, paraplegia) Usual Adult Dose for Seizures PARENTERAL: 5 to 10 mg IM or IV, then 5 to 10 mg IM or IV in 3 to 4 hours if necessaryĬomment: Larger parenteral doses may be necessary for patients with tetanus. ORAL: 2 to 10 mg orally 3 to 4 times a day Use: Symptomatic relief of acute agitation, tremor, impending/acute delirium tremens, and hallucinations in acute alcohol withdrawal Usual Adult Dose for Muscle Spasm PARENTERAL: 10 mg IM or IV once, then 5 to 10 mg IM or IV in 3 to 4 hours if necessary ![]() Maintenance dose: 5 mg orally 3 to 4 times a day as needed.Initial dose: 10 mg orally 3 to 4 times a day for the first 24 hours.Use: Management of anxiety disorders and short-term relief of anxiety symptoms Usual Adult Dose for Alcohol Withdrawal Anxiety associated with the stress of everyday life usually does not require treatment with this drug.Oral doses should be determined by the severity of symptoms.Severe Anxiety Disorders and Symptoms: 5 to 10 mg IM or IV, repeated in 3 to 4 hours if necessary Moderate Anxiety Disorders and Symptoms: 2 to 5 mg IM or IV, repeated in 3 to 4 hours if necessary ORAL: 2 to 10 mg orally 2 to 4 times a day ![]()
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