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Form:CalcBenzo

252 bytes added, 20:35, 8 June 2010
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* [[Template:CalculateBenzo]].
</noinclude><includeonly>
==Calculation of a benzodiazepine switch to [[Diazepam]]==
{{{for template|CalculateBenzo}}}
 
{| class="formtable"
! Benzodiazepines
! mg
| Benzodiazepine 1
| {{{field|benzo1|mandatory|values from category=Benzodiazepine}}}
| {{{field|benzo3|values from category=Benzodiazepine}}}
| {{{field|dose3|type=Number}}}
|-
| Benzodiazepine 4
| {{{field|benzo4|values from category=Benzodiazepine}}}
| {{{field|dose4|type=Number}}}
|-
| Benzodiazepine 5
| {{{field|benzo5|values from category=Benzodiazepine}}}
| {{{field|dose5|type=Number}}}
|}
{{{end template}}}
</includeonly>
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