When managing withdrawal from co-existing benzodiazepine and alcohol dependence

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Pharmacological treatment of alcohol withdrawal

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 increase the dose of benzodiazepine medication used for withdrawal

calculate the initial daily dose based on the requirements for alcohol withdrawal plus the equivalent regularly used daily dose of benzodiazepine . This is best managed with one benzodiazepine (chlordiazepoxide or diazepam) rather than multiple benzodiazepines

inpatient withdrawal regimens should last for 2-3 weeks or longer, depending on the severity of co-existing benzodiazepine dependence

when withdrawal is managed in the community, and/or where there is a high level of benzodiazepine dependence, the regimen should last for longer than 3 weeks, tailored to the service user's symptoms and discomfort

NICE (February 2011). Alcohol-use disorders - Diagnosis, assessment and management of harmful drinking and alcohol dependence

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When managing withdrawal from co-existing benzodiazepine and alcohol dependence

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