For mild to moderate alcohol withdrawal symptoms, consider offering pharmacotherapy with a benzodiazepine, such as diazepam or chlordiazepoxide, following a standard protocol or fixed-dose regimen, titrated to the severity of withdrawal symptoms NICE CG115.
Use a fixed-dose regimen to start treatment with a standard dose and gradually reduce over 7 to 10 days, ensuring adequate supervision if high doses are administered NICE CG115.
In community settings, monitor the patient every other day and involve a family member or carer to oversee medication administration, adjusting the dose if severe withdrawal symptoms or over-sedation occur NICE CG115.
A symptom-triggered regimen can also be used, where medication is provided based on regular assessment of withdrawal severity, possibly using tools like the CIWA-Ar scale NICE CG115.