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lorazepam and Alcohol Withdrawal Associated Autonomic Hyperactivity

lorazepam has been researched along with Alcohol Withdrawal Associated Autonomic Hyperactivity in 32 studies

Lorazepam: A benzodiazepine used as an anti-anxiety agent with few side effects. It also has hypnotic, anticonvulsant, and considerable sedative properties and has been proposed as a preanesthetic agent.

Research Excerpts

ExcerptRelevanceReference
" He received a high-dose lorazepam infusion for alcohol withdrawal during hospitalization and developed severe hyperosmolality, high anion gap metabolic acidosis, and acute kidney injury on his eighth day of hospitalization."7.74Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam. ( Graeber, C; Sullivan, A; Yusufzai, I; Zar, T, 2007)
" He received a high-dose lorazepam infusion for alcohol withdrawal during hospitalization and developed severe hyperosmolality, high anion gap metabolic acidosis, and acute kidney injury on his eighth day of hospitalization."3.74Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam. ( Graeber, C; Sullivan, A; Yusufzai, I; Zar, T, 2007)
"Studies show that symptom-triggered dosing is best for treatment of alcohol withdrawal in patients on chemical dependence wards without other illness."2.72Alcohol withdrawal pharmacotherapy for inpatients with medical comorbidity. ( Hoffman, HJ; Johnson, RE; Mauck, K; Weaver, MF, 2006)
"Lorazepam is an excellent first choice because of its intermediate half-life, absence of active metabolites, and high bioavailability that can be achieved with a number of routes of administration."2.37Emerging treatment options in the alcohol withdrawal syndrome. ( Rosenbloom, A, 1988)
"Severe AWS can develop into delirium tremens (DT), which is potentially life-threatening."1.51Lorazepam versus chlordiazepoxide for the treatment of alcohol withdrawal syndrome and prevention of delirium tremens in general medicine ward patients. ( Bergeron, JB; March, KL; Reaves, AB; Sakaan, SA; Self, TH; Slayton, MM; Twilla, JD, 2019)
"Propofol has been reported to have successfully relieved alcohol withdrawal syndrome (AWS) symptoms in part because of activation of γ-aminobutyric acid channels in combination with antagonism of excitatory amino acids such as N-methyl-D-aspartate."1.40Propofol for benzodiazepine-refractory alcohol withdrawal in a non-mechanically ventilated patient. ( Adams, BD; Hughes, DW; Lepori, L; Vanwert, E, 2014)
"The manifestations of delirium tremens persisted with titration of a lorazepam infusion in excess of 40 mg/hour."1.35Phenobarbital treatment in a patient with resistant alcohol withdrawal syndrome. ( Bolton, PJ; Hayner, CE; Wuestefeld, NL, 2009)
"To compare outcomes of treating alcohol withdrawal delirium (AWD) with a symptom-driven benzodiazepine protocol versus nonprotocol benzodiazepine infusions in the intensive care unit (ICU)."1.34Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit. ( Cassaro, S; DeCarolis, DD; Ho, L; Rice, KL; Willenbring, ML, 2007)
"Alcohol withdrawal (especially delirium tremens) poses significant potential morbidity to postsurgical patients."1.29Trends in the management of alcohol withdrawal syndrome. ( Moore, M; Newman, JP; Terris, DJ, 1995)
"Inappropriate benzodiazepine dosing in patients exhibiting signs of alcohol withdrawal cause staff and patient safety problems."1.29Nursing-based protocol for treatment of alcohol withdrawal in the intensive care unit. ( Casey, P; Fleming, C; Watling, SM; Yanos, J, 1995)
"This resulted in a comatose state with depression of some brainstem reflexes."1.27Spindle coma in benzodiazepine toxicity: case report. ( Mouradian, MD; Penovich, PE, 1985)

Research

Studies (32)

TimeframeStudies, this research(%)All Research%
pre-19905 (15.63)18.7374
1990's6 (18.75)18.2507
2000's12 (37.50)29.6817
2010's8 (25.00)24.3611
2020's1 (3.13)2.80

Authors

AuthorsStudies
Levine, AR1
Thanikonda, V1
Mueller, J1
Naut, ER1
Muzyk, AJ1
Rogers, RE1
Dighe, G1
Hartung, J1
Musser, RC1
Stillwagon, MJ1
Rivelli, S1
Ram, D1
Raman, R1
Gowdappa, B1
Knight, E1
Lappalainen, L1
March, KL1
Twilla, JD1
Reaves, AB1
Self, TH1
Slayton, MM1
Bergeron, JB1
Sakaan, SA1
Hughes, DW1
Vanwert, E1
Lepori, L1
Adams, BD1
Schuckit, MA1
Hayner, CE1
Wuestefeld, NL1
Bolton, PJ1
Kahn, DR1
Barnhorst, AV1
Bourgeois, JA1
Riddle, E1
Bush, J1
Tittle, M1
Dilkhush, D1
Huang, MC1
Chen, CH1
Liu, HC1
Chen, CC1
Ho, CC1
Leu, SJ1
Hilliard, NJ1
Robinson, CA1
Hardy, R1
Daly, TM1
Schmidt, LG1
Bleich, S1
Boening, J1
Buehringer, G1
Kornhuber, J1
Weijers, HG1
Wiesbeck, GA1
Wolfgramm, J1
Havemann-Reinecke, U1
Stanley, KM1
Worrall, CL1
Lunsford, SL1
Simpson, KN1
Miller, JG1
Spencer, AP1
Weaver, MF1
Hoffman, HJ1
Johnson, RE1
Mauck, K1
DeCarolis, DD1
Rice, KL1
Ho, L1
Willenbring, ML1
Cassaro, S1
Cole, RP1
Ash, J1
Zar, T1
Yusufzai, I1
Sullivan, A1
Graeber, C1
Spencer, J1
Newman, JP1
Terris, DJ1
Moore, M1
Watling, SM1
Fleming, C1
Casey, P1
Yanos, J1
Bird, RD1
Makela, EH1
Volkow, ND1
Wang, GJ1
Overall, JE1
Hitzemann, R1
Fowler, JS1
Pappas, N1
Frecska, E1
Piscani, K1
Prater, CD1
Miller, KE1
Zylstra, RG1
Myrick, H1
Brady, KT1
Malcolm, R1
Schumacher, L1
Pruitt, JN1
Phillips, M1
Longo, LP1
Campbell, T1
Hubatch, S1
Hosein, IN2
de Freitas, R2
Beaubrun, MH2
Sullivan, JT1
Swift, RM1
Lewis, DC1
Rosenbloom, A1
Mouradian, MD1
Penovich, PE1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Effect of N-acetylcysteine (NAC) on Treatment of Alcohol and Cocaine Use Disorders: A Double-Blind Randomized Controlled Trial.[NCT03018236]Phase 4100 participants (Anticipated)Interventional2017-01-31Recruiting
Acute Drug Withdrawal in a General Medical Setting[NCT00249366]Phase 4183 participants (Actual)Interventional2001-04-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for lorazepam and Alcohol Withdrawal Associated Autonomic Hyperactivity

ArticleYear
Recognition and management of withdrawal delirium (delirium tremens).
    The New England journal of medicine, 2014, Nov-27, Volume: 371, Issue:22

    Topics: Alcohol Withdrawal Delirium; Benzodiazepines; Central Nervous System Depressants; Diazepam; Disease

2014
Alcohol withdrawal: what is the benzodiazepine of choice?
    The Annals of pharmacotherapy, 1994, Volume: 28, Issue:1

    Topics: Alcohol Withdrawal Delirium; Benzodiazepines; Chlordiazepoxide; Clinical Trials as Topic; Diazepam;

1994
Outpatient detoxification of the addicted or alcoholic patient.
    American family physician, 1999, Sep-15, Volume: 60, Issue:4

    Topics: Alcohol Withdrawal Delirium; Alcoholic Intoxication; Ambulatory Care; Anti-Anxiety Agents; Chlordiaz

1999
Emerging treatment options in the alcohol withdrawal syndrome.
    The Journal of clinical psychiatry, 1988, Volume: 49 Suppl

    Topics: Adrenergic beta-Antagonists; Alcohol Withdrawal Delirium; Benzodiazepines; Drug Therapy, Combination

1988

Trials

4 trials available for lorazepam and Alcohol Withdrawal Associated Autonomic Hyperactivity

ArticleYear
Alcohol withdrawal pharmacotherapy for inpatients with medical comorbidity.
    Journal of addictive diseases, 2006, Volume: 25, Issue:2

    Topics: Academic Medical Centers; Adult; Aged; Alcohol Withdrawal Delirium; Cohort Studies; Comorbidity; Dos

2006
Regional brain metabolic response to lorazepam in alcoholics during early and late alcohol detoxification.
    Alcoholism, clinical and experimental research, 1997, Volume: 21, Issue:7

    Topics: Adult; Alcohol Withdrawal Delirium; Alcoholism; Blood Glucose; Brain; Brain Mapping; Energy Metaboli

1997
Divalproex in the treatment of alcohol withdrawal.
    The American journal of drug and alcohol abuse, 2000, Volume: 26, Issue:1

    Topics: Adult; Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Anticonvulsants; Female; Humans; Lorazepam;

2000
Divalproex sodium (Depakote) for alcohol withdrawal and relapse prevention.
    Journal of addictive diseases, 2002, Volume: 21, Issue:2

    Topics: Adult; Alcohol Withdrawal Delirium; Alcoholism; Ambulatory Care; Anti-Anxiety Agents; Anticonvulsant

2002

Other Studies

24 other studies available for lorazepam and Alcohol Withdrawal Associated Autonomic Hyperactivity

ArticleYear
Front-loaded diazepam versus lorazepam for treatment of alcohol withdrawal agitated delirium.
    The American journal of emergency medicine, 2021, Volume: 44

    Topics: Alcohol Withdrawal Delirium; Biomarkers; Diazepam; Emergency Service, Hospital; Female; Humans; Hypn

2021
Impact of an Alcohol Withdrawal Treatment Pathway on Hospital Length of Stay: A Retrospective Observational Study Comparing Pre and Post Pathway Implementation.
    Journal of psychiatric practice, 2017, Volume: 23, Issue:3

    Topics: Alcohol Withdrawal Delirium; Drug Administration Schedule; Evidence-Based Medicine; Female; Hospital

2017
Lorazepam precipitated alcohol withdrawal delirium - Two case report.
    Asian journal of psychiatry, 2017, Volume: 30

    Topics: Alcohol Withdrawal Delirium; Antipsychotic Agents; Drug Administration Schedule; Female; GABA Modula

2017
Clinical Institute Withdrawal Assessment for Alcohol-Revised might be an unreliable tool in the management of alcohol withdrawal.
    Canadian family physician Medecin de famille canadien, 2017, Volume: 63, Issue:9

    Topics: Alcohol Withdrawal Delirium; Clinical Protocols; Communication Barriers; Diazepam; Humans; Hypnotics

2017
Lorazepam versus chlordiazepoxide for the treatment of alcohol withdrawal syndrome and prevention of delirium tremens in general medicine ward patients.
    Alcohol (Fayetteville, N.Y.), 2019, Volume: 81

    Topics: Alcohol Withdrawal Delirium; Chlordiazepoxide; Ethanol; Female; Humans; Hypnotics and Sedatives; Inp

2019
Propofol for benzodiazepine-refractory alcohol withdrawal in a non-mechanically ventilated patient.
    The American journal of emergency medicine, 2014, Volume: 32, Issue:1

    Topics: Adult; Alcohol Withdrawal Delirium; Diazepam; Emergency Service, Hospital; Haloperidol; Humans; Hypn

2014
Phenobarbital treatment in a patient with resistant alcohol withdrawal syndrome.
    Pharmacotherapy, 2009, Volume: 29, Issue:7

    Topics: Adult; Alcohol Withdrawal Delirium; Dose-Response Relationship, Drug; Drug Resistance; Humans; Hypno

2009
A case of alcohol withdrawal requiring 1,600 mg of lorazepam in 24 hours.
    CNS spectrums, 2009, Volume: 14, Issue:7

    Topics: Adult; Alcohol Withdrawal Delirium; Humans; Hypnotics and Sedatives; Lorazepam; Male; Severity of Il

2009
Alcohol withdrawal: development of a standing order set.
    Critical care nurse, 2010, Volume: 30, Issue:3

    Topics: Adult; Aged; Alcohol Withdrawal Delirium; Chlordiazepoxide; Clinical Protocols; Critical Care; Drug

2010
Differential patterns of serum brain-derived neurotrophic factor levels in alcoholic patients with and without delirium tremens during acute withdrawal.
    Alcoholism, clinical and experimental research, 2011, Volume: 35, Issue:1

    Topics: Adult; Alcohol Withdrawal Delirium; Alcoholism; Anticonvulsants; Brain-Derived Neurotrophic Factor;

2011
Pathologic quiz case: repeated positive ethylene glycol levels by gas chromatography. Central venous line contamination of blood samples by propylene glycol from intravenous lorazepam injections.
    Archives of pathology & laboratory medicine, 2004, Volume: 128, Issue:6

    Topics: Adult; Alcohol Withdrawal Delirium; Catheterization, Central Venous; Chromatography, Gas; Ethylene G

2004
Advances in alcoholism research in Germany.
    Alcoholism, clinical and experimental research, 2005, Volume: 29, Issue:7

    Topics: Alcohol Withdrawal Delirium; Alcoholism; Animals; Brain; Comorbidity; Dopamine; Early Diagnosis; gam

2005
Experience with an adult alcohol withdrawal syndrome practice guideline in internal medicine patients.
    Pharmacotherapy, 2005, Volume: 25, Issue:8

    Topics: Adrenergic alpha-Agonists; Adult; Aged; Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Antipsycho

2005
Symptom-driven lorazepam protocol for treatment of severe alcohol withdrawal delirium in the intensive care unit.
    Pharmacotherapy, 2007, Volume: 27, Issue:4

    Topics: Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Benzodiazepines; Clinical Protocols; Drug Administ

2007
Benzodiazepine administration and need for mechanical ventilation in delirium tremens.
    Critical care medicine, 2007, Volume: 35, Issue:7

    Topics: Alcohol Withdrawal Delirium; Humans; Hypnotics and Sedatives; Infusions, Intravenous; Lorazepam; Res

2007
Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam.
    Nature clinical practice. Nephrology, 2007, Volume: 3, Issue:9

    Topics: Acidosis; Acute Kidney Injury; Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Drug Compounding; H

2007
Use of injectable lorazepam in alcohol withdrawal.
    The Medical journal of Australia, 1980, Aug-23, Volume: 2, Issue:4

    Topics: Adult; Aged; Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Female; Humans; Injections, Intramusc

1980
Trends in the management of alcohol withdrawal syndrome.
    The Laryngoscope, 1995, Volume: 105, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Chlordiazepoxide;

1995
Nursing-based protocol for treatment of alcohol withdrawal in the intensive care unit.
    American journal of critical care : an official publication, American Association of Critical-Care Nurses, 1995, Volume: 4, Issue:1

    Topics: Alcohol Withdrawal Delirium; Clinical Protocols; Critical Care; Drug Monitoring; Humans; Lorazepam;

1995
Identifying patients "at risk" for alcohol withdrawal syndrome and a treatment protocol.
    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, 2000, Volume: 32, Issue:3

    Topics: Alcohol Withdrawal Delirium; Alcohol Withdrawal Seizures; Algorithms; Anti-Anxiety Agents; Clinical

2000
Intramuscular/oral lorazepam in acute alcohol withdrawal and incipient delirium tremens.
    Current medical research and opinion, 1978, Volume: 5, Issue:8

    Topics: Administration, Oral; Adult; Alcohol Withdrawal Delirium; Alcoholism; Anti-Anxiety Agents; Female; H

1978
Intramuscular/oral lorazepam in acute alcohol withdrawal and incipient delirium tremens.
    The West Indian medical journal, 1979, Volume: 28, Issue:1

    Topics: Acute Disease; Adult; Alcohol Withdrawal Delirium; Alcoholism; Anti-Anxiety Agents; Female; Humans;

1979
Benzodiazepine requirements during alcohol withdrawal syndrome: clinical implications of using a standardized withdrawal scale.
    Journal of clinical psychopharmacology, 1991, Volume: 11, Issue:5

    Topics: Administration, Oral; Adult; Alcohol Withdrawal Delirium; Anti-Anxiety Agents; Chlordiazepoxide; Dia

1991
Spindle coma in benzodiazepine toxicity: case report.
    Clinical EEG (electroencephalography), 1985, Volume: 16, Issue:4

    Topics: Adult; Alcohol Withdrawal Delirium; Coma; Diazepam; Drug Therapy, Combination; Electroencephalograph

1985