{"uid":"cap_vf-ukmzXf4PIa5UjenGFB","slug":"ciwa-b-calculator-busto-1989-0b10920e","name":"CIWA-B Calculator (Busto 1989)","description":"Busto 1989 CIWA-B: twenty caller-assigned 0-4 items summed (max 80). Optional hours of sleep and minutes to fall asleep are recorded only and are not in the total. magent does not observe the patient and does not apply later mild-to-very-severe manuals. Not a benzodiazepine prescription and not a medical device.","url":"https://api.magentlab.com/api/calc/ciwa_b","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["restlessness","tremor","sweating","irritability","fatigue","tension","concentration","appetite","numbness","palpitations","headache","muscle_aches","anxiety","upset","sleep_restfulness","weakness","enough_sleep","visual_disturbances","fear","worry"],"properties":{"fear":{"type":"integer","description":"Caller-assigned Busto 1989 fear (Are you fearful?; integer 0-4). magent does not observe the patient."},"upset":{"type":"integer","description":"Caller-assigned Busto 1989 upset (Do you feel upset?; integer 0-4). magent does not observe the patient."},"worry":{"type":"integer","description":"Caller-assigned Busto 1989 worrying about possible misfortunes lately (integer 0-4). magent does not observe the patient."},"tremor":{"type":"integer","description":"Caller-assigned Busto 1989 tremor with arms extended and fingers apart (integer 0-4). magent does not observe the patient."},"anxiety":{"type":"integer","description":"Caller-assigned Busto 1989 anxious, nervous, or jittery (integer 0-4). magent does not observe the patient."},"fatigue":{"type":"integer","description":"Caller-assigned Busto 1989 fatigue (Do you feel fatigued / tired?; integer 0-4). magent does not observe the patient."},"tension":{"type":"integer","description":"Caller-assigned Busto 1989 tension (Do you feel tense?; integer 0-4). magent does not observe the patient."},"appetite":{"type":"integer","description":"Caller-assigned Busto 1989 loss of appetite (integer 0-4). magent does not observe the patient."},"headache":{"type":"integer","description":"Caller-assigned Busto 1989 head full or achy (integer 0-4). magent does not observe the patient."},"numbness":{"type":"integer","description":"Caller-assigned Busto 1989 numbness or burning in the face, hands, or feet (integer 0-4). magent does not observe the patient."},"sweating":{"type":"integer","description":"Caller-assigned Busto 1989 sweating, including palms (integer 0-4). magent does not observe the patient."},"weakness":{"type":"integer","description":"Caller-assigned Busto 1989 weakness (Do you feel weak?; integer 0-4). magent does not observe the patient."},"enough_sleep":{"type":"integer","description":"Caller-assigned Busto 1989 whether you had enough sleep last night (integer 0-4). magent does not observe the patient."},"irritability":{"type":"integer","description":"Caller-assigned Busto 1989 irritability (Do you feel irritable?; integer 0-4). magent does not observe the patient."},"muscle_aches":{"type":"integer","description":"Caller-assigned Busto 1989 muscle aches or stiffness (integer 0-4). magent does not observe the patient."},"palpitations":{"type":"integer","description":"Caller-assigned Busto 1989 heart racing / palpitations (integer 0-4). magent does not observe the patient."},"restlessness":{"type":"integer","description":"Caller-assigned Busto 1989 observation of restlessness and agitation (integer 0-4). magent does not observe the patient."},"concentration":{"type":"integer","description":"Caller-assigned Busto 1989 difficulty concentrating (integer 0-4). magent does not observe the patient."},"hours_of_sleep":{"type":"integer","description":"Optional Busto 1989 recorded hours of sleep last night (integer 0-24). Not added to the CIWA-B total. magent does not observe the patient."},"sleep_restfulness":{"type":"integer","description":"Caller-assigned Busto 1989 how restful was your sleep last night (integer 0-4). magent does not observe the patient."},"visual_disturbances":{"type":"integer","description":"Caller-assigned Busto 1989 visual disturbances (sensitivity to light, blurred vision; integer 0-4). magent does not observe the patient."},"minutes_to_fall_asleep":{"type":"integer","description":"Optional Busto 1989 recorded minutes to fall asleep last night (integer 0-1440). Not added to the CIWA-B total. magent does not observe the patient."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_6jAZUOwPjZPiAbEUhXCE1","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Computes the Clinical Institute Withdrawal Assessment for Benzodiazepines (CIWA-B) total score from 20 caller-assigned symptom items rated 0–4, with optional sleep fields recorded but excluded from the total.","exampleAgentPrompt":"Calculate a CIWA-B score for a patient with the following ratings: restlessness 2, tremor 1, sweating 1, irritability 3, fatigue 2, tension 2, concentration 2, appetite 1, numbness 0, palpitations 2, headache 1, muscle aches 1, anxiety 3, upset 2, sleep restfulness 2, weakness 1, enough sleep 2, visual disturbances 0, fear 2, worry 3.","exampleUseCases":[{"title":"Benzo taper monitoring in clinic","prompt":"My patient is on day 3 of a benzodiazepine taper. They report: restlessness 3, tremor 2, sweating 2, irritability 3, fatigue 3, tension 3, concentration 2, appetite 2, numbness 1, palpitations 2, headache 2, muscle aches 2, anxiety 3, upset 2, sleep restfulness 3, weakness 2, enough sleep 2, visual disturbances 1, fear 2, worry 3. What's their CIWA-B total?"},{"title":"Inpatient detox intake assessment","prompt":"A new detox admission is reporting withdrawal symptoms. Ratings are: restlessness 1, tremor 0, sweating 1, irritability 2, fatigue 2, tension 1, concentration 1, appetite 1, numbness 0, palpitations 1, headache 1, muscle aches 0, anxiety 2, upset 1, sleep restfulness 2, weakness 1, enough sleep 2, visual disturbances 0, fear 1, worry 2. Compute their CIWA-B score."},{"title":"Outpatient benzo discontinuation tracking","prompt":"Track my patient's CIWA-B withdrawal score today — they scored restlessness 0, tremor 0, sweating 0, irritability 1, fatigue 1, tension 1, concentration 1, appetite 0, numbness 0, palpitations 1, headache 0, muscle aches 0, anxiety 1, upset 0, sleep restfulness 1, weakness 0, enough sleep 1, visual disturbances 0, fear 0, worry 1. What's the total?"}],"resultDescription":"Returns the CIWA-B total score (integer 0–80) computed as the sum of all 20 symptom items each rated 0–4. Optional sleep fields (hours of sleep, minutes to fall asleep) are recorded in the response but are not included in the total. No severity classification or prescriptive recommendation is returned.","failureModes":["Missing any of the 20 required symptom parameters returns an error","Item values outside the 0–4 integer range may be rejected or cause incorrect totals","Non-integer values for symptom scores will fail schema validation","All 20 items are required; partial submissions are not supported"],"whenToPreferThis":"Use this endpoint when you need a precise, reproducible CIWA-B numeric score based on the original Busto 1989 twenty-item protocol. Prefer it over manual calculation to avoid arithmetic errors, and for automated logging or trend tracking of withdrawal severity during benzodiazepine tapers or detoxification. Note that this is a calculation tool only — it does not interpret severity categories, recommend benzodiazepine doses, or substitute for clinical judgment.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T06:49:55.433Z","isFirstParty":false}