Opiate withdrawal: Difference between revisions

(Created page with "==Background== *Onset depends on drug used, usually ~12 hours after last heroin, ~30 hours after last methadone ==Clinical Features== *tachycardia, mydriasis, piloerection, di...")
 
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==Background==
==Background==
*Onset depends on drug used, usually ~12 hours after last heroin, ~30 hours after last methadone
*Onset depends on drug used, usually ~12 hours after last heroin, ~30 hours after last methadone
*extremely unpleasant, but not life-threatening
==Clinical Features==
==Clinical Features==
*tachycardia, mydriasis, piloerection, diaphoresis
*tachycardia, mydriasis, piloerection, diaphoresis

Revision as of 23:25, 10 July 2016

Background

  • Onset depends on drug used, usually ~12 hours after last heroin, ~30 hours after last methadone
  • extremely unpleasant, but not life-threatening

Clinical Features

  • tachycardia, mydriasis, piloerection, diaphoresis
  • restlessness, insomnia, anxiety
  • rhinorrhea, yawning
  • nausea/vomiting, abdominal cramping, diarrhea, muscle cramps

Differential Diagnosis

Evaluation

Management

  • symptomatic/supportive care in the
    • anti-emetics
    • analgesia
    • clonidine
    • dicyclomine
  • methadone, buprenorphine

Disposition

See Also

External Links

References