Withdrawl meds Flashcards
Alcohol withdrawl
4-12 hrs of last drink to 2-3 days
can have delerium
Immediate med alcohol
Benzos - chlorodiazepine, diazepam, lorazepam
Can mix with carbamazepine, clonidine, propanolol, atenolol to control seizures, hr, bp
Alcohol abstinence med
Disulfuram
How does disulfuram work
makes pt super sick if they drink alcohol
avoid all substances with alcohol up to 2wk after quitting drug
Non compliance alcohol absitnece maintenance med
Naltrexone
How does naltrexone work
supresses craving, makes sort of sick if they drink and takes away good parts
Comes in IM or PO
Anxiety alcohol abstinence med
acamprosate
How does acamprosate work
Helps with withdrawl symptoms and lessens anxiety
3x a day/ diarrhea common
Opioid withdrawl
1hr - several days
flu like symptoms, shallow resps, sweating
Immediate opioid withdrawl med
Naloxone(narcan)
Maintenance opioid abstinence med
Methadone substitution
replaces opioid
Methadone substitution special stuff
long term maintenance
must taper if stopped
Maintenance opioid abstinence side effects
clonidine
reduce NVD
Clonidine special stuff
doesn’t reduce craving
monitor hr and bp
dry mouth
Safer opioid abstinence med
Buprenorphine
less abuse potential and reps depression
