Pain and clinical thrombophlebitis following intravenous diazepam and lorazepam

Anaesthesia. 1978 Feb;33(2):188-91. doi: 10.1111/j.1365-2044.1978.tb08348.x.

Abstract

Eighty-seven per cent of surgical patients receiving undiluted diazepam experienced pain on injection while 6-16%, depending on the dose, manifested evidence of clinical thrombophlebitis. This was improved when diazepam, 10 mg, was diluted to 20-40 ml with intravenous solution. In contrast, lorazepam appeared to have minimal irritative or injurious effects on veins whether undiluted or diluted. In view of these results and clinical studies reporting a higher patient acceptance of lorazepam than diazepam, lorazepam may be a superior drug for use in anaesthesia.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Anxiety Agents / adverse effects*
  • Clinical Trials as Topic
  • Diazepam / administration & dosage
  • Diazepam / adverse effects*
  • Double-Blind Method
  • Female
  • Humans
  • Injections, Intravenous
  • Lorazepam / administration & dosage
  • Lorazepam / adverse effects*
  • Male
  • Middle Aged
  • Pain / chemically induced*
  • Thrombophlebitis / chemically induced*

Substances

  • Anti-Anxiety Agents
  • Lorazepam
  • Diazepam