Opioid withdrawal: Difference between revisions
m (Rossdonaldson1 moved page Opioid Withdrawal to Opioid withdrawal) |
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*Onset is 6-12hr after last heroin use, within 30hr after last methadone use | *Onset is 6-12hr after last heroin use, within 30hr after last methadone use | ||
==Clinical | ==Clinical Presentation== | ||
#Onset: within hours of cessation | #Onset: within hours of cessation | ||
#Peak effects: 36-72hr | #Peak effects: 36-72hr | ||
| Line 23: | Line 23: | ||
##Abd pain | ##Abd pain | ||
##N/V/D | ##N/V/D | ||
==Workup== | |||
*Normally a clinical diagnosis | |||
**Consider a [[urine tox]] | |||
==Differential Diagnosis== | |||
==Treatment== | ==Treatment== | ||
#Clonidine | #[[Clonidine]] | ||
# | #*5mcg/kg PO (as long as SBP >90) | ||
#Hydroxyzine | #[[Hydroxyzine]] | ||
# | #*50-100mg PO QID x5d | ||
#Antiemetics | #[[Antiemetics]] | ||
#Antidiarrheals | #Antidiarrheals | ||
#NSAIDS | #[[NSAIDS]] | ||
#PO/IV hydration | #PO/IV hydration | ||
==See Also== | |||
*[[Neonatal abstinence syndrome]] | |||
==Source== | ==Source== | ||
Revision as of 15:44, 12 March 2015
Background
- Uncomfortable but not life-threatening
- only life-threatening in neonates
- Onset is 6-12hr after last heroin use, within 30hr after last methadone use
Clinical Presentation
- Onset: within hours of cessation
- Peak effects: 36-72hr
- Anxiety
- Craving
- Yawning
- Rhinorrhea
- Diaphoresis
- Onset: 12hr after cessation
- Peak effects: 72hr
- Tremor
- Piloerection
- Mydriasis
- Irritability
- Onset: 24-36hr after cessation
- Peak effects: 72hr
- Muscle spasm
- Abd pain
- N/V/D
Workup
- Normally a clinical diagnosis
- Consider a urine tox
Differential Diagnosis
Treatment
- Clonidine
- 5mcg/kg PO (as long as SBP >90)
- Hydroxyzine
- 50-100mg PO QID x5d
- Antiemetics
- Antidiarrheals
- NSAIDS
- PO/IV hydration
See Also
Source
- Tintinalli