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Versed Only


stcommodore

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My current protocols call for Valium IVP for seizures in adults and Versed IN for seizures in children. Resently at work we have been having to use Ativan due to a shortage of Valium, our hospital cannot get Valium the last time I checked which was about two weeks ago. Is anyone else experiencing a problem getting Valium?

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I haven't heard anything about a shortage, but I've noticed that a lot of services are going to Ativan and/or Versed as alternatives.

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I've not heard of difficulties with obtaining valium right now - perhaps this is just a regional issue for you?

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We use diazepam as our first-line drug for adult and pedi seizures, with midazolam as a back-up if diazepam doesn't work or you can't establish an IV. It's up to the provider's discretion as to whether diazepam or midazolam are administered for sedation for anxiety/cardioversion/etc.

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Los Angeles moved from Diazepam to Midazolam last summer 09. In addition to seizures, they added chemical restraint as an indication (for excited delirium situations). It's worked really great when I used it. Part of the reason they switched to it, is the shorter duration (in cases of overdose).

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