Opioid withdrawal: Difference between revisions
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==Clinical Presentation== | ==Clinical Presentation== | ||
*Onset: within hours of cessation | |||
==Symptoms of withdrawal== | |||
===Early symptoms=== | |||
*Agitation | |||
*[[Anxiety]] | |||
*Muscle aches | |||
*Increased tearing | |||
*Insomnia | |||
*Runny nose | |||
*Sweating | |||
*Yawning | |||
*Skin-Crawling | |||
===Late symptoms=== | |||
*Abdominal cramping | |||
*[[Diarrhea]] | |||
*Dilated pupils | |||
*Goose bumps | |||
*[[Nausea]] | |||
*[[Vomiting]] | |||
==Workup== | ==Workup== | ||
Revision as of 15:49, 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
Symptoms of withdrawal
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