Opiate withdrawal

Opiate withdrawal refers to the wide range of symptoms that occur after stopping or dramatically reducing opiate drugs after heavy and prolonged use -LRB- several weeks or more -RRB- .Opiate drugs include heroin , morphine , codeine , Oxycontin , Dilaudid , methadone , and others . Methadone is an opiate antagonist, morphine is not. Opiate dependant patients need MORE of the opiate drug they are being treated with for pain than someone who is not opiate dependant. Oxycontin is more energizing to some people but any opiate can make you sleepy, some are worse than others, methadone is notoriously bad.
Overview
Early symptoms of withdrawal include : AgitationAnxietyMuscle achesIncreased tearingInsomniaRunny noseSweatingYawningLate symptoms of withdrawal include : Abdominal crampingDiarrheaDilated pupilsGoose bumpsNauseaVomitingOpioid withdrawal reactions are very uncomfortable but are not life threatening . Symptoms usually start within 12 hours of last heroin usage and within 30 hours of last methadone exposure .
Symptoms
Treatment involves supportive care and medications . The most commonly used medication , clonidine , primarily reduces anxiety , agitation , muscle aches , sweating , runny nose and cramping.Other medications are used to treat vomiting and diarrhea.Buprenorphine -LRB- Suptex -RRB- has been shown to work better than other medications for treating withdrawal from opiates , and can shorten the length of detox . It may also be used for long - term maintenance like methadone.People withdrawing from methadone may be placed on long - term maintenance . but Demerol is the only problem opiate and rarely used by PM docs and shouldn't be used long term due to risk of seizure This involves slowly decreasing the dosage of methadone over time . This helps reduce the intensity of withdrawal symptoms.Some drug treatment programs have widely advertised treatments for opiate withdrawal called detox under anesthesia or rapid opiate detox . Such programs involve placing you under anesthesia and injecting large doses of opiate - blocking drugs , with hopes that this will speed up the return to normal opioid system function.There is no evidence that these programs actually reduce the time spent in withdrawal . In some cases , they may reduce the intensity of symptoms . They don't think it's that bad because there are very few cases of death from opiate withdrawal but many cases of suicide. However , there have been several deaths associated with the procedures , particularly when it is done outside a hospital.Because opiate withdrawal produces vomiting , and vomiting during anesthesia significantly increases death risk , many specialists think the risks of this procedure significantly outweigh the potential -LRB- and unproven -RRB- benefits .
Treatment
About 9 % of the population is believed to misuse opiates over the course of their lifetime , including illegal drugs like heroin and prescribed pain medications such as Oxycontin.These drugs can cause physical dependence . Ignorance of what addiction is and what simple physical dependence is just continues the stigma and misinformation regarding opiate pain medication. This means that a person relies on the drug to prevent symptoms of withdrawal . Over time , greater amounts of the drug become necessary to produce the same effect.The time it takes to become physically dependent varies with each individual.When the drugs are stopped , the body needs time to recover , and withdrawal symptoms result . Withdrawal from opiates can occur whenever any chronic use is discontinued or reduced.Some people even withdraw from opiates after being given such drugs for pain while in the hospital without realizing what is happening to them . They think they have the flu , and because they do n't know that opiates would fix the problem , they do n't crave the drugs .
Causes
Your doctor can often diagnose opiate withdrawal after performing a physical exam and asking questions about your medical history and drug use.Urine or blood tests to screen for drugs can confirm opiate use . Perhaps you will get better results as you are coming to the patch from a lower level of opiate use.
Tests & diagnosis
Withdrawal from opiates is painful , but not life threatening .
Prognosis
Complications include vomiting and breathing in stomach contents into the lungs . This is called aspiration , and can cause lung infection . Vomiting and diarrhea can cause dehydration and body chemical and mineral -LRB- electrolyte -RRB- disturbances.The biggest complication is return to drug use . Most opiate overdose deaths occur in people who have just withdrawn or detoxed . I refuse to believe that people that actually need treatment, wether it is opiate or otherwise, get kicked to the curb... for whatever reason. Because withdrawal reduces your tolerance to the drug , those who have just gone through withdrawal can overdose on a much smaller dose than they used to take.Longer - term treatment is recommended for most people following withdrawal . This can include self - help groups , like Narcotics Anonymous or SMART Recovery , outpatient counseling , intensive outpatient treatment -LRB- day hospitalization -RRB- , or inpatient treatment.Those withdrawing from opiates should be checked for depression and other mental illnesses . Appropriate treatment of such disorders can reduce the risk of relapse . Antidepressant medications should NOT be withheld under the assumption that the depression is only related to withdrawal , and not a pre - existing condition.Treatment goals should be discussed with the patient and recommendations for care made accordingly . If a person continues to withdraw repeatedly , methadone maintenance is strongly recommended .
Complications
Call your doctor if you are using or withdrawing from opiates . Using multiple opiates hits a broader range of opiate receptors.

Other Discussions
High Prob. Terms:
opiate non properties meds ultram med methods acting addiction abruptly pure
I have tried every non opiate method to manage pain there is.
I pretty much had to do everything to get a pump, not only all the non opiate methods of PM docs and PM clinics in the years before,I also tried all the opiate methods
ULtram has opiate properties and SSRI properties and should not be discontinued abruptly.
Quote: Originally Posted by Shoreline I could hear another doc reading a patient the riot act because on the follow up form she listed an 80 percent reduction in pain from the first trial of a Long acting opiate.
Rather than giving you enough opiate to manage your pain, lets put you on 8 different adjunct meds that will help the limited opiates work better.

High Prob. Terms:
opiate receptors antagonist meth patient dependent bind receptor agonist meds tolerant
hi scotty i was where your at about 13 months ago i moved to nc and at the time i was on 3 percs a day and the pain from pinched nerve in c7 started getting worse to the point i did not leave the house for days at a time i coudnt find a pm doc there and could not get any local docs there to fill my script let alone add to it it was a small town in the mountains and there were very opiate naive so i ended up driving back to fl once a month to my pm doc there i was afraid to ask him to increase my meds as i thought that he might think i was drug seeking one night i was in agong and went online to see if i could find any info on what i was going thru and happened across heathboards and this was a blessing not only did it give me info i was looking for i found out the i had become opiate tolerant so that nite i took 1 1/2 percs instead of 1 and found it reduced my pain to where it was next visit to pm in fl i told him what i had been going thru and what i did and he agreed that i had become tolerant to the dose i was on and even became angry with me that i did not tell him about the increase in pain so that he could adjust my meds which he did right away he put me on 15 mgs of roxicodone 3x a day and 5 mgs of roxicet for any breakthru pain i had 3 x a day and made me promise to tell him the next time that the pain got out of hand note he also sent me for new mri to be sure there was no futher damage of the disc c2
If you do a ****** search on methadone withdrawal, You will have to dig passed 20 pages to find someone withdrawing from meth and switching to another opiate because they are a CP patient.
And chronic pain NEEDS to be treated withe a LA opiate of some sort."
The reason why Subutex sent you into withdrawal is because it has opiate antagonist just like Narcan, the drug they use for opiate overdoses, it purges your system or blocks the receptors and sends an opiate dependent patient into immediate withdrawal
Combined opiate agonist/antagonist can induce withdrawal in an opiate dependent patient.