ToxiCIWAToxiCIWAToxiCIWA is an interactive, evidence-based tool that guides clinicians step-by-step through the CIWA-Ar, instantly calculates a score, and provides severity-based, personalized treatment recommendations to improve care.
August 2, 2025Updated
1.0.0Version
FreePricing
100+Users
• About
Alcohol Withdrawal Scoring
Quickly assess withdrawal severity using the CIWA-Ar (Clinical Institute Withdrawal Assessment for Alcohol).
Withdrawal Management Guidance
Provides evidence-based recommendations for benzodiazepines, phenobarbital, adjunct therapies, and supportive care.
Live Score & Severity Category
Automatically calculates total score with real-time severity classification (mild, moderate, severe).
No Login Required
Ready to use—no account or setup needed.
Free & Mobile-Friendly
Browser-based and responsive across all devices.
• Changelog
Version 1.0.0
• Initial release of the product
• FAQ
Who is ToxiCIWA for?
ToxiCIWA is designed for clinicians, toxicologists, ICU providers, emergency physicians, hospitalists, and pharmacists managing alcohol withdrawal in inpatient, emergency, or critical care settings.
What data do I need to use it?
You’ll need clinical observations for the 10 CIWA-Ar items, including vital signs, nausea, tremor, agitation, sensory disturbances, and orientation level.
Does it recommend treatment?
ToxiCIWA suggests guideline-based options for alcohol withdrawal management, including benzodiazepine dosing, phenobarbital protocols, and supportive care. Final treatment decisions must be made by the provider using clinical judgment.
Can I use this for polysubstance or atypical withdrawal?
ToxiCIWA is optimized for acute alcohol withdrawal. It may not accurately reflect severity in cases involving mixed intoxications, co-withdrawal from benzodiazepines (due to overlapping GABAergic effects), or other complex withdrawal syndromes.
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