LEWIS W. GRAY, M.D.
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To the editor: I take some exception to conclusions from the controlled trial of diazepam and paraldehyde for treatment of delirium tremens recently reported in this journal (Ann Intern Med 82:175-180, 1975). A year at Boston City Hospital (BCH) proved to me that the main indication for paraldehyde under the bed was to treat the patient under the bed.
I believe the difference in response times for the two drugs lies in the regimen chosen. The average of 150 mg diazepam using 5 mg dose increments compares rather poorly with a mere two or three doses of paraldehyde. That is,
GRAY LW. Diazepam or Paraldehyde for Delirium Tremens. Ann Intern Med. ;82:852–853. doi: 10.7326/0003-4819-82-6-852_2
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Published: Ann Intern Med. 1975;82(6):852-853.
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