Detox Cocktail??

[Oldtimer]

Sorry for the double post, I don't know what happened---anyway, take a look at this also:
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.

IP: Logged

[HikingFan]

Thanks Oldtimer and Cowboy!

Cowboy, let me know that I can tell you to help. If it is my history with pain and meds, I am more than happy to let you know. I just don't want to overwhelm if this is not what you wanted, so let me know and I am always happy to help. I'll post on the Pain Management when I hear from you there.



Sara

[rockingham]

Sara, are you trying to reduce the amount of the 'dones or reduce the Norco's. My impression was reducing the Norco's but you asked about methadone withdrawal. I take methadone everyday to avoid withdrawal. If it is trying to reduce Norco's AND the dones you wont like my answer. Norco is strong enough to avoid w/d from dones but 6 a day wont do the job in all liklihood. 2x that amount maybe, you will be the final judge there based on how you feel, will be needed. I take anywhere from 40 to 120 mg a day(generally its 40-60) of the meth. depending on how I feel. To illustrate if I dont have meth. for some reason I can take Es's (7.5's) at a rate of about 3 at a time every few hours or so and I wont suffer any w/d from the dones. I may adjust that up or down, mostly up, but it all depends. Dont let the talk about meth. w/d scare you because it is not some monster drug which is impossible to get off of. Let me know if I can help in any other way or if my post just clouded the issue even more.