It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Addiction & Recovery Message Board


Post New Thread   Closed Thread
LinkBack Thread Tools
Old 08-22-2003, 11:32 PM   #1
Junior Member
 
Join Date: Aug 2003
Location: Georgia
Posts: 27
rlcowboy2 HB User
Post narcotic withdrawal flowchart

Hey, I know I posted this once before but there are some nubies on here now that are going through or thinking about going through withdrawals. Like me, we all want to make it as painless as we can so here is the withdrawal flowchart- FLOWCHART FOR NARCOTIC WITHDRAWAL- hope this helps someone.

(1) Assessment Findings for Patients at Risk for Withdrawal
a. History of abuse or dependence.
b. High Index of Suspicion: positive urine drug screen (UDS), track marks

(2) If Not Already Done, Obtain:
a. Urine Drug Screen (UDS)
b. Behavioral Assessment Team (BAT)-ext.6387, BP2018 Consult for.
1. Withdrawal management recommendations
2. Community referrals or Turning Point outpatient assessment appointment (208-HOPE)
3. If pregnant or with severe cardiovascular or respiratory disease, consultation with a certified addictionologist is recommended.

(3) Acute withdrawal from narcotics is not life threatening. Treatment is aimed at managing the symptoms as they occur. (I)


(4) Guidelines for Managing Narcotic Withdrawal Symptoms:

Medication suggestions:
Catapres TTS 1,2 or 3 patch (clonidine) - apply the patch to counteract sympathetic hyperactivity associated with narcotic withdrawal. The size of the patch depends on amount of narcotic used, age & blood pressure. The patch is changed every 7-10 days. (Caution - use of the patch can cause orthostatic hypotension)

Paregoric 5 - 10ml po four times daily as needed for diarrhea and/or other early significant withdrawal symptoms. Contimue only for the first 2 days of symptomatic withdrawal.

Dicyclomine (Bentyl) 10 - 20mg po four times daily as needed for abdominal cramping

Methocarbamol (Robaxin) 750 - 1500mg po four times daily as needed for muscle aches

LorazePam. (Ativan) I - 2mg po/IM/IV every four hours as needed for anxiety

Trimethobenzamide (Tigan) 200mg IM/rectally or 250mg po three or four times daily as needed for nausea & vomiting
t.
__________________
Trust in God!!

 
Sponsors Lightbulb
   
Old 08-23-2003, 07:40 AM   #2
Junior Member
 
Join Date: Aug 2003
Location: radford
Posts: 30
4mygirls3 HB User
Post

Isn't paragoric a opiate? Just wondering..

 
Old 08-24-2003, 04:06 PM   #3
Senior Member
 
Join Date: Aug 2003
Posts: 101
imthatguy HB User
Post

yes it is an opiate. It only contains something like .04% morphine though. It is still listed as a scheduleIII controlled substance.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Low T Flowchart D13004X4 Men's Health 1 08-18-2008 07:48 PM
Narcotic for neck pain?, percocet, oxycontin? nochange Spinal Cord Disorders 3 07-13-2008 05:39 PM
Ultram is a Narcotic butrfligirl28 Pain Management 17 10-11-2007 09:07 PM
Any suggestions for non narcotic pain control? dani808 Pain Management 6 07-19-2007 04:13 PM
Narcotic-induced hypersensitivity/pain Glad2Bhere Pain Management 4 12-08-2006 04:01 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 07:40 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!