Diazepam is used for withdrawal management. Convert average daily dose into "equivalent" dose of diazepam, and give in 3-4 divided doses up to a maximum of 40 mg/24 hours. Reduce dose by 5-10% daily.
A benzodiazepine reduction regime is available from the Community Alcohol and Drug Service.
Opioid withdrawal syndrome.
Not life-threatening but very unpleasant.
2-3 days post last dosage, but duration varies with the opioid.
Use opioid withdrawal medications in the first instance. Clonidine is a useful adjunct.
If considering an opioid withdrawal/detox regimen (e.g., methadone), please consult with the doctors at the Community Alcohol and Drug Service.
Further information about drug withdrawal management is available from Substance Withdrawal Management: Guidelines for Medical and Nursing Practitioners in Primary Health, Specialist Addiction, Custodial and General Hospital Settings available on www.matuaraki.org.nz.
Note: A general hospital admission is an opportunity to diagnose alcohol and drug abuse problems and initiate therapy. For the management of alcohol-related problems, including withdrawal, refer to Alcohol Related Problems.