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Table 1 Dosage plan for clonidine

From: The protocol of the Oslo Study of Clonidine in Elderly Patients with Delirium; LUCID: a randomised placebo-controlled trial

Time

Safety

Dosage

Day 1

Systolic BP has to be >120 mmHg before the first loading dose.

75 μg every 3rd hour until maximum 4 doses, (e.g.: at 2, 5, 8 and 11 p.m)

Loading doses

If systolic BP is <100 mmHg, HR <50 beats/min, or if RASS is −3 or less before any of the subsequent loading doses, no more study medication will be given until the planned maintenance dose the next morning.

If RASS is −2, the treating physician has to assess if IMP will be given or not

Day 2-7

If systolic BP is <100 mmHg, HR <50 beats/min, or if RASS is −3 or less just before a planned dose, no study medication will be given until the next planned dose 12 hours later.

75 μg BID, at 8–9 a.m and 8–9 p.m

Maintenance doses

If RASS is −2, the treating physician has to assess if IMP will be given or not