Jail Opiate Withdrawal

[amesly15]

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

[schmoltz, BSN]

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.

[geode19947]

Where i work, we use librium protocol.

[Jaila]

pepto and phenergan supp bid x 2 days

definitely not as critical as the etoh w/d, then we use librium

[schmoltz, BSN]

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.

[spongebob6286, BSN, RN]

we have it for BID x 5days and provides meds with the symptoms like APAP for body aches, loperamide for diarrhea, etc..

[spongebob6286, BSN, RN]

Where i work, we use librium protocol.

in our jail we only use librium for alcohol and benzodiazepines WDs.

[amesly15]

Thanks all. I am developing a policy for opiate withdrawal. We send those with ETOH withdrawal out to Detox at the local hospital.

[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.

[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.

[spongebob6286, BSN, RN]

we used clonidine prn for sbp >160

[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.