Opioid withdrawal: Difference between revisions
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==See Also== | ==See Also== | ||
*[[Neonatal abstinence syndrome]] | *[[Neonatal abstinence syndrome]] | ||
*[[Opioid toxicity]] | |||
==Source== | ==Source== | ||
Revision as of 16:16, 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
Early symptoms
- Agitation
- Anxiety
- Muscle aches
- Increased tearing
- Insomnia
- Runny nose
- Sweating
- Yawning
- Skin-Crawling
Late symptoms
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