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CLINICAL INSTITUTE WITHDRAWAL
ASSESSMENT OF ALCOHOL SCALE, REVISED
(CIWA-AR)
Dr AMALA MUSTY MBBS DPM
Columbus Hospital, Hyderabad
Understanding the components and better way to
remember them
 Symptoms broadly comes under 4 systems of brain
 Total 10 points
Cognitive
1.Orientation
2.Agitation
Perceptual
3.Tactile
4. Auditory
5.Visual
Motor
6.Tremors
Autonomic
7.Headache, fullness
of head
8.Paroxysmal sweats
9.Anxiety
10.Nausea &
vomiting
■ Score less than 10 should not put BZP or any tapering medication

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Clinical Institute Withdrawal Assessment of Alcohol Scale CIWA- Ar