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. Visit amesly15 profile page

    About amesly15

    Joined: Mar '03; Posts: 58; Likes: 5


  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