Opiate withdrawal: Difference between revisions
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*restlessness, insomnia, anxiety | *restlessness, insomnia, anxiety | ||
*rhinorrhea, yawning | *rhinorrhea, yawning | ||
*nausea/vomiting, abdominal cramping, diarrhea, muscle cramps | *[[nausea/vomiting]], abdominal cramping, [[diarrhea]], muscle cramps | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 04:06, 12 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