SlideShare a Scribd company logo

Opioid Withdrawal Attenuation Cocktail

•Download as DOCX, PDF•
•
Paul Coelho, MD
Paul Coelho, MD

Soft landing

Health & Medicine
1 of 1
Opioid Withdrawal Attenuation Cocktail Acute Withdrawal: Clonidine 0.1mg QID x anticipated length of withdrawal. (Check BP & watch for hypotension) Diarrhea: Hyocosamine 0.125mg every 4-6 hours PRN Myalgias: Ibuprofen 400mg po QID or Acetamenophen 325mg po Q6hrs Anxiety: Hydroxyzine 25mg po TID Insomnia: Trazodone 50-300mg po QHS Nausea: Ondansetron 8mg po BID x anticipated length of withdrawal. (Check QTc) Anticipated Withdrawal As A Part of a Planned Taper/Conversion to buprenorphine: Anxiety: Gabapentin starting at 600 mg TID and titrating up as necessary, max dose 1200mg/TID. Clonidine 0.1mg QID x anticipated length of withdrawal. (Check BP & watch for hypotension) Diarrhea: Loperamide 4mg then 2mg QID Myalgias: Ibuprofen 400mg po QID or Acetamenophen 325mg po Q6hrs Anxiety: Hydroxyzine 25mg po TID Insomnia: Trazodone 50-300mg po QHS; Mirtazapine 15-30 mg qHS Nausea: Ondansetron 8mg po BID x anticipated length of withdrawal. (Check QTc)

Recommended

Opioid Withdrawal Attenuation Coctail
Opioid Withdrawal Attenuation CoctailOpioid Withdrawal Attenuation Coctail
Opioid Withdrawal Attenuation CoctailPaul Coelho, MD
 
Opioid Withdrawal Attenuation Cocktail
Opioid Withdrawal Attenuation CocktailOpioid Withdrawal Attenuation Cocktail
Opioid Withdrawal Attenuation CocktailPaul Coelho, MD
 
Spine eras march 2017
Spine eras march 2017Spine eras march 2017
Spine eras march 2017rnbarg001
 
Acls medications
Acls medicationsAcls medications
Acls medicationsJohns Hopkins Lifeline
 
Emergency parenteral drugs_list_2009
Emergency parenteral drugs_list_2009Emergency parenteral drugs_list_2009
Emergency parenteral drugs_list_2009Lucky Khan
 
Emergency drugs
Emergency drugsEmergency drugs
Emergency drugsguestf121f0
 
Acls pharmacology
Acls pharmacologyAcls pharmacology
Acls pharmacologyZahidulHasan11
 
Post-Intubation Management
Post-Intubation ManagementPost-Intubation Management
Post-Intubation ManagementSCGH ED CME
 

Recommended

Opioid Withdrawal Attenuation Coctail
Opioid Withdrawal Attenuation CoctailOpioid Withdrawal Attenuation Coctail
Opioid Withdrawal Attenuation CoctailPaul Coelho, MD
 
Opioid Withdrawal Attenuation Cocktail
Opioid Withdrawal Attenuation CocktailOpioid Withdrawal Attenuation Cocktail
Opioid Withdrawal Attenuation CocktailPaul Coelho, MD
 
Spine eras march 2017
Spine eras march 2017Spine eras march 2017
Spine eras march 2017rnbarg001
 
Acls medications
Acls medicationsAcls medications
Acls medicationsJohns Hopkins Lifeline
 
Emergency parenteral drugs_list_2009
Emergency parenteral drugs_list_2009Emergency parenteral drugs_list_2009
Emergency parenteral drugs_list_2009Lucky Khan
 
Emergency drugs
Emergency drugsEmergency drugs
Emergency drugsguestf121f0
 
Acls pharmacology
Acls pharmacologyAcls pharmacology
Acls pharmacologyZahidulHasan11
 
Post-Intubation Management
Post-Intubation ManagementPost-Intubation Management
Post-Intubation ManagementSCGH ED CME
 
Emergency Medicine
Emergency Medicine Emergency Medicine
Emergency Medicine SMS MEDICAL COLLEGE
 
MUSC Pediatric Emergency Medicine Handbook 2013
MUSC Pediatric Emergency Medicine Handbook 2013MUSC Pediatric Emergency Medicine Handbook 2013
MUSC Pediatric Emergency Medicine Handbook 2013dpark419
 
Tbi
TbiTbi
TbiIbrahim Kushisha
 
Ped medhandbook
Ped medhandbookPed medhandbook
Ped medhandbookElhadi Hajow
 
Ped medhandbook
Ped medhandbookPed medhandbook
Ped medhandbookElhadi Hajow
 
Covid 19 infection and management
Covid 19 infection and managementCovid 19 infection and management
Covid 19 infection and managementParisha Chaudhari
 
Emergency medication
Emergency medicationEmergency medication
Emergency medicationAhmed Easa
 
Dysrhythmias april 2013
Dysrhythmias april 2013Dysrhythmias april 2013
Dysrhythmias april 2013chricres
 
Advanced Cardiac Life Support
Advanced Cardiac Life SupportAdvanced Cardiac Life Support
Advanced Cardiac Life Supportmeducationdotnet
 
SIN Toxicology Lecture by David Collins
SIN Toxicology Lecture by David CollinsSIN Toxicology Lecture by David Collins
SIN Toxicology Lecture by David CollinsSMACC Conference
 
Quick reference paramedic drugs
Quick reference paramedic drugsQuick reference paramedic drugs
Quick reference paramedic drugsMackenzie yancy
 
Acute stroke care.pptx
Acute stroke care.pptxAcute stroke care.pptx
Acute stroke care.pptxArpanDutta51
 
Atrial fibrillation
Atrial fibrillationAtrial fibrillation
Atrial fibrillationVaishakh Shyam
 
DRUGS AND DEFIBRILATION.ppt
DRUGS AND DEFIBRILATION.pptDRUGS AND DEFIBRILATION.ppt
DRUGS AND DEFIBRILATION.pptAgusHaryanto56
 
Practice principles in advanced life support pharmacotherapy
Practice principles in advanced life support pharmacotherapy Practice principles in advanced life support pharmacotherapy
Practice principles in advanced life support pharmacotherapy Dr.Venugopalan Poovathum Parambil
 
Acls drugs 2014
Acls drugs 2014Acls drugs 2014
Acls drugs 2014Ahmad Thanin
 
Anti Emetics.pdf
Anti Emetics.pdfAnti Emetics.pdf
Anti Emetics.pdfGamingbeast4848
 
Pregnancy hypertentiosn.pptx
Pregnancy hypertentiosn.pptxPregnancy hypertentiosn.pptx
Pregnancy hypertentiosn.pptxRajdeepUppal
 
Drugs used in cath lab
Drugs used in cath labDrugs used in cath lab
Drugs used in cath labFarrukh Masood
 
Drugs used in emergency cases
Drugs used in emergency casesDrugs used in emergency cases
Drugs used in emergency casesMEEQAT HOSPITAL
 
Suicidality Poster References.docx
Suicidality Poster References.docxSuicidality Poster References.docx
Suicidality Poster References.docxPaul Coelho, MD
 
Opioid Milli-equivalence Conversion Factors CDC
Opioid Milli-equivalence Conversion Factors CDCOpioid Milli-equivalence Conversion Factors CDC
Opioid Milli-equivalence Conversion Factors CDCPaul Coelho, MD
 

More Related Content

Similar to Opioid Withdrawal Attenuation Cocktail

MUSC Pediatric Emergency Medicine Handbook 2013
MUSC Pediatric Emergency Medicine Handbook 2013MUSC Pediatric Emergency Medicine Handbook 2013
MUSC Pediatric Emergency Medicine Handbook 2013dpark419
 
Covid 19 infection and management
Covid 19 infection and managementCovid 19 infection and management
Covid 19 infection and managementParisha Chaudhari
 
Emergency medication
Emergency medicationEmergency medication
Emergency medicationAhmed Easa
 
Dysrhythmias april 2013
Dysrhythmias april 2013Dysrhythmias april 2013
Dysrhythmias april 2013chricres
 
Advanced Cardiac Life Support
Advanced Cardiac Life SupportAdvanced Cardiac Life Support
Advanced Cardiac Life Supportmeducationdotnet
 
SIN Toxicology Lecture by David Collins
SIN Toxicology Lecture by David CollinsSIN Toxicology Lecture by David Collins
SIN Toxicology Lecture by David CollinsSMACC Conference
 
Quick reference paramedic drugs
Quick reference paramedic drugsQuick reference paramedic drugs
Quick reference paramedic drugsMackenzie yancy
 
Acute stroke care.pptx
Acute stroke care.pptxAcute stroke care.pptx
Acute stroke care.pptxArpanDutta51
 
DRUGS AND DEFIBRILATION.ppt
DRUGS AND DEFIBRILATION.pptDRUGS AND DEFIBRILATION.ppt
DRUGS AND DEFIBRILATION.pptAgusHaryanto56
 
Practice principles in advanced life support pharmacotherapy
Practice principles in advanced life support pharmacotherapy Practice principles in advanced life support pharmacotherapy
Practice principles in advanced life support pharmacotherapy Dr.Venugopalan Poovathum Parambil
 
Pregnancy hypertentiosn.pptx
Pregnancy hypertentiosn.pptxPregnancy hypertentiosn.pptx
Pregnancy hypertentiosn.pptxRajdeepUppal
 
Drugs used in cath lab
Drugs used in cath labDrugs used in cath lab
Drugs used in cath labFarrukh Masood
 
Drugs used in emergency cases
Drugs used in emergency casesDrugs used in emergency cases
Drugs used in emergency casesMEEQAT HOSPITAL
 

Similar to Opioid Withdrawal Attenuation Cocktail (20)

Emergency Medicine
Emergency Medicine Emergency Medicine
Emergency Medicine
 
MUSC Pediatric Emergency Medicine Handbook 2013
MUSC Pediatric Emergency Medicine Handbook 2013MUSC Pediatric Emergency Medicine Handbook 2013
MUSC Pediatric Emergency Medicine Handbook 2013
 
Tbi
TbiTbi
Tbi
 
Ped medhandbook
Ped medhandbookPed medhandbook
Ped medhandbook
 
Ped medhandbook
Ped medhandbookPed medhandbook
Ped medhandbook
 
Covid 19 infection and management
Covid 19 infection and managementCovid 19 infection and management
Covid 19 infection and management
 
Emergency medication
Emergency medicationEmergency medication
Emergency medication
 
Dysrhythmias april 2013
Dysrhythmias april 2013Dysrhythmias april 2013
Dysrhythmias april 2013
 
Advanced Cardiac Life Support
Advanced Cardiac Life SupportAdvanced Cardiac Life Support
Advanced Cardiac Life Support
 
SIN Toxicology Lecture by David Collins
SIN Toxicology Lecture by David CollinsSIN Toxicology Lecture by David Collins
SIN Toxicology Lecture by David Collins
 
Quick reference paramedic drugs
Quick reference paramedic drugsQuick reference paramedic drugs
Quick reference paramedic drugs
 
Acute stroke care.pptx
Acute stroke care.pptxAcute stroke care.pptx
Acute stroke care.pptx
 
Atrial fibrillation
Atrial fibrillationAtrial fibrillation
Atrial fibrillation
 
DRUGS AND DEFIBRILATION.ppt
DRUGS AND DEFIBRILATION.pptDRUGS AND DEFIBRILATION.ppt
DRUGS AND DEFIBRILATION.ppt
 
Practice principles in advanced life support pharmacotherapy
Practice principles in advanced life support pharmacotherapy Practice principles in advanced life support pharmacotherapy
Practice principles in advanced life support pharmacotherapy
 
Acls drugs 2014
Acls drugs 2014Acls drugs 2014
Acls drugs 2014
 
Anti Emetics.pdf
Anti Emetics.pdfAnti Emetics.pdf
Anti Emetics.pdf
 
Pregnancy hypertentiosn.pptx
Pregnancy hypertentiosn.pptxPregnancy hypertentiosn.pptx
Pregnancy hypertentiosn.pptx
 
Drugs used in cath lab
Drugs used in cath labDrugs used in cath lab
Drugs used in cath lab
 
Drugs used in emergency cases
Drugs used in emergency casesDrugs used in emergency cases
Drugs used in emergency cases
 

More from Paul Coelho, MD

Suicidality Poster References.docx
Suicidality Poster References.docxSuicidality Poster References.docx
Suicidality Poster References.docxPaul Coelho, MD
 
Opioid Milli-equivalence Conversion Factors CDC
Opioid Milli-equivalence Conversion Factors CDCOpioid Milli-equivalence Conversion Factors CDC
Opioid Milli-equivalence Conversion Factors CDCPaul Coelho, MD
 
Labeling Woefulness: The Social Construction of Fibromyalgia
Labeling Woefulness: The Social Construction of FibromyalgiaLabeling Woefulness: The Social Construction of Fibromyalgia
Labeling Woefulness: The Social Construction of FibromyalgiaPaul Coelho, MD
 
Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...
Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...
Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...Paul Coelho, MD
 
Pain Phenotyping Tool For Primary Care
Pain Phenotyping Tool For Primary CarePain Phenotyping Tool For Primary Care
Pain Phenotyping Tool For Primary CarePaul Coelho, MD
 
Fibromyalgia & Somatic Symptom Disorder Patient Handout
Fibromyalgia & Somatic Symptom Disorder Patient HandoutFibromyalgia & Somatic Symptom Disorder Patient Handout
Fibromyalgia & Somatic Symptom Disorder Patient HandoutPaul Coelho, MD
 
Community Catastrophizing
Community CatastrophizingCommunity Catastrophizing
Community CatastrophizingPaul Coelho, MD
 
Risk-Benefit High-Dose LTOT
Risk-Benefit High-Dose LTOTRisk-Benefit High-Dose LTOT
Risk-Benefit High-Dose LTOTPaul Coelho, MD
 
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...Mortality quadrupled among opioid-driven hospitalizations notably within lowe...
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...Paul Coelho, MD
 
Prescriptions filled following an opioid-related hospitalization.
Prescriptions filled following an opioid-related hospitalization.Prescriptions filled following an opioid-related hospitalization.
Prescriptions filled following an opioid-related hospitalization.Paul Coelho, MD
 
Jamapsychiatry santavirta 2017_oi_170084
Jamapsychiatry santavirta 2017_oi_170084Jamapsychiatry santavirta 2017_oi_170084
Jamapsychiatry santavirta 2017_oi_170084Paul Coelho, MD
 
Correlation of opioid mortality with prescriptions and social determinants -a...
Correlation of opioid mortality with prescriptions and social determinants -a...Correlation of opioid mortality with prescriptions and social determinants -a...
Correlation of opioid mortality with prescriptions and social determinants -a...Paul Coelho, MD
 
Gao recommendations to CMS
Gao recommendations to CMSGao recommendations to CMS
Gao recommendations to CMSPaul Coelho, MD
 
Prescribing by specialty
Prescribing by specialtyPrescribing by specialty
Prescribing by specialtyPaul Coelho, MD
 
The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...
The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...
The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...Paul Coelho, MD
 
Structured opioid refill clinic epic smartphrases
Structured opioid refill clinic epic smartphrases Structured opioid refill clinic epic smartphrases
Structured opioid refill clinic epic smartphrases Paul Coelho, MD
 
Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...
Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...
Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...Paul Coelho, MD
 
The potential adverse influence of physicians’ words.
The potential adverse influence of physicians’ words.The potential adverse influence of physicians’ words.
The potential adverse influence of physicians’ words.Paul Coelho, MD
 
Ctaf chronic pain__evidence_report_100417
Ctaf chronic pain__evidence_report_100417Ctaf chronic pain__evidence_report_100417
Ctaf chronic pain__evidence_report_100417Paul Coelho, MD
 

More from Paul Coelho, MD (20)

Suicidality Poster References.docx
Suicidality Poster References.docxSuicidality Poster References.docx
Suicidality Poster References.docx
 
Opioid Milli-equivalence Conversion Factors CDC
Opioid Milli-equivalence Conversion Factors CDCOpioid Milli-equivalence Conversion Factors CDC
Opioid Milli-equivalence Conversion Factors CDC
 
Labeling Woefulness: The Social Construction of Fibromyalgia
Labeling Woefulness: The Social Construction of FibromyalgiaLabeling Woefulness: The Social Construction of Fibromyalgia
Labeling Woefulness: The Social Construction of Fibromyalgia
 
Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...
Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...
Outcomes in Long-term Opioid Tapering and Buprenorphine Transition: A Retrosp...
 
Pain Phenotyping Tool For Primary Care
Pain Phenotyping Tool For Primary CarePain Phenotyping Tool For Primary Care
Pain Phenotyping Tool For Primary Care
 
Fibromyalgia & Somatic Symptom Disorder Patient Handout
Fibromyalgia & Somatic Symptom Disorder Patient HandoutFibromyalgia & Somatic Symptom Disorder Patient Handout
Fibromyalgia & Somatic Symptom Disorder Patient Handout
 
Community Catastrophizing
Community CatastrophizingCommunity Catastrophizing
Community Catastrophizing
 
Risk-Benefit High-Dose LTOT
Risk-Benefit High-Dose LTOTRisk-Benefit High-Dose LTOT
Risk-Benefit High-Dose LTOT
 
Space Trial
Space TrialSpace Trial
Space Trial
 
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...Mortality quadrupled among opioid-driven hospitalizations notably within lowe...
Mortality quadrupled among opioid-driven hospitalizations notably within lowe...
 
Prescriptions filled following an opioid-related hospitalization.
Prescriptions filled following an opioid-related hospitalization.Prescriptions filled following an opioid-related hospitalization.
Prescriptions filled following an opioid-related hospitalization.
 
Jamapsychiatry santavirta 2017_oi_170084
Jamapsychiatry santavirta 2017_oi_170084Jamapsychiatry santavirta 2017_oi_170084
Jamapsychiatry santavirta 2017_oi_170084
 
Correlation of opioid mortality with prescriptions and social determinants -a...
Correlation of opioid mortality with prescriptions and social determinants -a...Correlation of opioid mortality with prescriptions and social determinants -a...
Correlation of opioid mortality with prescriptions and social determinants -a...
 
Gao recommendations to CMS
Gao recommendations to CMSGao recommendations to CMS
Gao recommendations to CMS
 
Prescribing by specialty
Prescribing by specialtyPrescribing by specialty
Prescribing by specialty
 
The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...
The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...
The place-of-antipsychotics-in-the-therapy-of-anxiety-disorders-and-obsessive...
 
Structured opioid refill clinic epic smartphrases
Structured opioid refill clinic epic smartphrases Structured opioid refill clinic epic smartphrases
Structured opioid refill clinic epic smartphrases
 
Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...
Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...
Opioids for the Treatment of Chronic Pain: Mistakes Made, Lessons Learned, an...
 
The potential adverse influence of physicians’ words.
The potential adverse influence of physicians’ words.The potential adverse influence of physicians’ words.
The potential adverse influence of physicians’ words.
 
Ctaf chronic pain__evidence_report_100417
Ctaf chronic pain__evidence_report_100417Ctaf chronic pain__evidence_report_100417
Ctaf chronic pain__evidence_report_100417
 

Recently uploaded

(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 

Recently uploaded (20)

(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 

Opioid Withdrawal Attenuation Cocktail

  • 1. Opioid Withdrawal Attenuation Cocktail Acute Withdrawal: Clonidine 0.1mg QID x anticipated length of withdrawal. (Check BP & watch for hypotension) Diarrhea: Hyocosamine 0.125mg every 4-6 hours PRN Myalgias: Ibuprofen 400mg po QID or Acetamenophen 325mg po Q6hrs Anxiety: Hydroxyzine 25mg po TID Insomnia: Trazodone 50-300mg po QHS Nausea: Ondansetron 8mg po BID x anticipated length of withdrawal. (Check QTc) Anticipated Withdrawal As A Part of a Planned Taper/Conversion to buprenorphine: Anxiety: Gabapentin starting at 600 mg TID and titrating up as necessary, max dose 1200mg/TID. Clonidine 0.1mg QID x anticipated length of withdrawal. (Check BP & watch for hypotension) Diarrhea: Loperamide 4mg then 2mg QID Myalgias: Ibuprofen 400mg po QID or Acetamenophen 325mg po Q6hrs Anxiety: Hydroxyzine 25mg po TID Insomnia: Trazodone 50-300mg po QHS; Mirtazapine 15-30 mg qHS Nausea: Ondansetron 8mg po BID x anticipated length of withdrawal. (Check QTc)