What regimen can I give a patient going through opiate withdrawal? 

This is the typical cocktail our psychiatry consultants recommend:

  • Robaxin 500-700 mg q6h prn muscle cramps
  • Bentyl 50 mg prn abdominal pain
  • Clonidine 0.1 mg prn anxiety, hold for systolic blood pressure <90
  • Hydroxyzine 50 mg q6h prn anxiety or insomnia
  • Kaopectate prn diarrhea

Always make sure to check a tox screen to make sure they’re not going through concurrent alcohol or benzo withdrawal!

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