Clinical Management of Opioid Withdrawal

Appropriate clinical management of opioid withdrawal is a crucial bridge to long‐term treatment for opioid use disorder (OUD), because it is a high‐risk time for potential opioid overdose and relapse. We provide a narrative review of evidence‐based opioid withdrawal management strategies applicable...

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Bibliographic Details
Published in:Addiction (Abingdon, England) England), 2022-09, Vol.117 (9), p.2540-2550
Main Authors: Torres‐Lockhart, Kristine E., Lu, Tiffany Y., Weimer, Melissa B., Stein, Melissa R., Cunningham, Chinazo O.
Format: Article
Language:English
Subjects:
Analgesics, Opioid - therapeutic use
Buprenorphine - therapeutic use
Drug abuse
Drug addiction
Drug withdrawal
Harm reduction
Harm reduction, medications for opioid use disorder, MOUD, patient‐centered, opiates, opioids, opioid withdrawal, OUD
Health care management
Humans
Medical diagnosis
Medical screening
Narcotics
Opiate Substitution Treatment
Opioid-Related Disorders - drug therapy
Opioids
Overdose
Patient-centered care
Patients
Prevention
Relapse
Secondary Prevention
Substance use disorder
Substance Withdrawal Syndrome - drug therapy
Treatment methods
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Summary:Appropriate clinical management of opioid withdrawal is a crucial bridge to long‐term treatment for opioid use disorder (OUD), because it is a high‐risk time for potential opioid overdose and relapse. We provide a narrative review of evidence‐based opioid withdrawal management strategies applicable to a variety of treatment settings and geographies. The goals of opioid withdrawal management include relieving suffering associated with withdrawal, providing appropriate diagnosis and screening, engaging patients in initiation of OUD treatment, and using harm reduction strategies, all guided by a patient‐centered approach to care. In addition, we discuss complex cases, relapse prevention strategies, and new developments in opioid withdrawal management.
ISSN:0965-2140
1360-0443
DOI:10.1111/add.15818