Jail Opiate Withdrawal

  1. Hi all,

    I am interested to hear from you that work in County Jails...do you have an Opiate Withdrawal Policy and if yes but is it?

    thank you
    •  
  2. 12 Comments

  3. by   schmoltz
    Our Opiate protocol is Clonidine 0.1 mg PO QID for 2 days, then TID for 2 days, then qHS for 2 days. It also includes Vistaril 50 mg PO or IM PRN for 4 days.
  4. by   geode19947
    Where i work, we use librium protocol.
  5. by   Jaila
    pepto and phenergan supp bid x 2 days
    definitely not as critical as the etoh w/d, then we use librium
  6. by   schmoltz
    We use Libirum for ETOH and Benzo withdrawal. Honestly, I have rarely been able to give the clonidine during Opiate WD, but I have given the Vistaril plenty.
  7. by   spongebob6286
    we have it for BID x 5days and provides meds with the symptoms like APAP for body aches, loperamide for diarrhea, etc..
  8. by   spongebob6286
    Quote from geode19947
    Where i work, we use librium protocol.
    in our jail we only use librium for alcohol and benzodiazepines WDs.
  9. by   amesly15
    Thanks all. I am developing a policy for opiate withdrawal. We send those with ETOH withdrawal out to Detox at the local hospital.
  10. by   Truegem
    Geode, Librium for Opiate W/D? Why would they need a Benzo? Unless they are withdrawing from ETOH or Benzos.
    We give Tylenol, a muscle relaxer, Immodium and Tigan if necessary. We don't give Clonidine, although I have heard it helps.
  11. by   geode19947
    Librium is indicated for the treatment of insomnia, anxiety and panic attacks. It has also been used as a treatment for acute alcohol or opiate withdrawal. Some early opiate withdrawal symptoms include: Agitation, Anxiety, and Insomnia, (not to mentionMuscle aches, Increased tearing, Runny nose, Sweating, Yawning). Therefore, our MDs and NPs use Librium...hope that helps.
  12. by   spongebob6286
    we used clonidine prn for sbp >160
  13. by   Dwifey
    Our policy is pretty much the same as above. We used to use librium for etoh/benzo detox but recently switched to valium.For opiate withdrawl we treat the symptoms and use clonidine if needed.
  14. by   jailhouserock_lpn_08
    We have an opiate protocol, benzo protocol and ETOH protocol. The opiate is tylenol 650mg and phenergan 20 mg TID x 3 days and clonidine 0.1mg TID x 7 days

close