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Chapter 9
Drug Withdrawal Syndrome
8
Medical
Professional
08/21/2011

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Cards

Term
Symptoms of Alcohol or BDZ withdrawal
Definition
Sweating
Tachycardia
tremor
Insomnia
N/V
Hallucinations
psychomotor agitation
anxiety
Depression (Withdrawal)
Pupil dilation
Term
Stimulant withdrawal symptoms (cocaine, amphetamines)
Definition
Fatigue
Unpleasant dreams
insomnia or hypersomnia
increased appetite
anxiety
depression
psychotic symptoms
Term
Opioid Withdrawal symptoms
Definition
Dysphoria
N/V
Muscle pain
rhinorrhea
papillary dilation
pinpoint pupils
diarrhea
fever
insomnia
Term
Treating alcohol withdrawal syndrome
Definition
Low dose BDZ or rehab with naltrexone
Term
Treatment/prevention of Wernick's Encephalopathy, and for who
Definition
Wernicke's encephalopathy begins abruptly, usually with eye movement disorders (nystagmus, gaze palsies, and ophthalmoplegia, especially of the lateral rectus muscles), gait ataxia, confusion, confabulation, and short-term memory loss.

Treat with thiamine - vitamin B1 for ALL alcohol withdrawal patients
Term
Treatment of stimulant withdrawal syndrome

Treating anxiety/depression associated?

Treating the withdrawal or relapse prevention?
Definition
Desimperamine or other antidepressants for anxiety/depression

Agonist replacement therapy with sustained release amphetamine or methylphenidate
Term
Opioid Withdrawal syndrome treatment
Definition
Long acting agonist - methadone

OR

partial agonist buprenorphine (on SAP)

Clonidine - for muscle aches and craving

Naltrexone - long term abstinence
Term
BDZ withdrawal syndrome treatment
Definition
Long acting BDZ tapered (diazepam or clonazepam) with support and CBT
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