Antianxiety, anticonvulsant, adjunct to skeletal muscle relaxants. Adults: 2-10 mg b.i.d.-q.i.d. Elderly, debilitated clients: 2-2.5 mg 1-2 times/day. May be gradually increased to adult level. Pediatric, over 6 months, initial: 1-2.5 mg (0.04-0.2 mg/kg or 1.17-6 mg/m2) b.i.d.-t.i.d.
Alcohol withdrawal. Adults: 10 mg t.i.d.-q.i.d. during the first 24 hr; then, decrease to 5 mg t.i.d.-q.i.d. as required.
Anticonvulsant. Adults: 15-30 mg once daily.
• Rectal Gel Anticonvulsant.
Over 12 years: 0.2 mg/kg. Children, 6-11 years: 0.3 mg/kg; 2—5
years: 0.5 mg/kg. If required, a second dose can be given 4 to 12 hr after the first dose. Do not treat more than five episodes per month or more than one episode every 5 days. Adjust dose downward in elderly or debilitated clients to reduce ataxia or oversedation.
Preoperative or diagnostic use. Adults: 10 mg IM 5-30 min before procedure.
Adjunct to treat skeletal muscle spasm.
Adults, initial: 5-10 mg IM or IV; then, repeat in 3-4 hr if needed (larger doses may be required for tetanus).
Moderate anxiety. Adults: 2-5 mg IM or IV q 3-4 hr if necessary.
Severe anxiety, muscle spasm. Adults: 5-10 mg IM or IV q 3-4 hr, if necessary.
Acute alcohol withdrawal. Initial: 10 mg IM or IV; then, 5-10 mg q 3-4 hr.
Preoperatively. Adults: 10 mg IM prior to surgery.
Endoscopy. IV: 10 mg or less although doses up to 20 mg can be used; IM: 5-10 mg 30 min prior to procedure.
Cardioversion. IV: 5-15 mg 5-10 min prior to procedure.
Tetanus in children. IM, IV, over 1 month: 1-2 mg, repeated q 3-4 hr as necessary; 5 years and over: 5-10 mg q 3-4 hr.
Status epilepticus. Adults, initial: 5-10 mg; then, dose may be repeated at 10-15-min intervals up to a maximum dose of 30 mg. Dosage may be repeated after 2-4 hr. Children, 1 month-5 years: 0.2-0.5 mg q 2-5 min, up to maximum of 5 mg. Can be repeated in 2-4 hr. 5 years and older: 1 mg q 2-5 min up to a maximum of 10 mg; dose can be repeated in 2-4 hr, if needed.
NOTE: Elderly or debilitated clients should not receive more than 5 mg parenterally at any one time.
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