Opiate withdrawal: Difference between revisions
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==Management== | ==Management== | ||
*symptomatic/supportive care | *symptomatic/supportive care | ||
** | **[[antiemetics]] | ||
**analgesia | **analgesia | ||
**clonidine | **[[clonidine]] | ||
** dicyclomine | ** dicyclomine | ||
*methadone, buprenorphine | *methadone, buprenorphine | ||
==Disposition== | ==Disposition== | ||
Revision as of 23:29, 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
- antiemetics
- analgesia
- clonidine
- dicyclomine
- methadone, buprenorphine