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Psychiatry · Addiction Medicine · Internal Medicine

CIWA-B Benzodiazepine Withdrawal Scale calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Feels irritable
Feels fatigued (tired)
Feels tense
Difficulty concentrating
Loss of appetite
Numbness or burning in face, hands or feet
Heart racing (palpitations)
Head feels full or achy
Muscle aches or stiffness
Feels anxious, nervous or jittery
Feels upset
Sleep last night was not restful
Feels weak
Did not have enough sleep last night
Visual disturbances (light sensitivity, blurred vision)
Feels fearful
Worrying about possible misfortunes
Sweating, restlessness and agitation (observed)
Tremor (observed)
Sweating of palms (observed or felt)

Result

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Clinical inputs

  • Feels irritable
  • Feels fatigued (tired)
  • Feels tense
  • Difficulty concentrating
  • Loss of appetite
  • Numbness or burning in face, hands or feet
  • Heart racing (palpitations)
  • Head feels full or achy
  • Muscle aches or stiffness
  • Feels anxious, nervous or jittery
  • Feels upset
  • Sleep last night was not restful
  • Feels weak
  • Did not have enough sleep last night
  • Visual disturbances (light sensitivity, blurred vision)
  • Feels fearful
  • Worrying about possible misfortunes
  • Sweating, restlessness and agitation (observed)
  • Tremor (observed)
  • Sweating of palms (observed or felt)

Primary source

Busto UE et al. A clinical scale to assess benzodiazepine withdrawal. J Clin Psychopharmacol. PMID: 2574193. Scope: 20-item Clinical Institute Withdrawal Assessment–Benzodiazepines; each item 0–4 (total 0–80); higher totals reflect more severe benzodiazepine withdrawal. Severity grading used with the scale: 0–20 mild, 21–40 moderate, 41–60 severe, 61–80 very severe. (1989)

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