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Fairly rapid partial reduction at the rate of approximately 10mg diazepam daily may be undertaken safely over 2-3 weeks, with appropriate surveillance and psychological support, followed by a period of stabilisation.

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Severe renal impairment (CrCl <30mL/min): 875mg tabs not recommended; CrCl 10–30mL/min: 250–500mg every 12hrs; CrCl <10mL/min: 250–500mg every 24hrs (give additional doses during and after hemodialysis)!
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