Guidelines for Gradual Opioid Reduction and Understanding Withdrawal Symptoms
Opioid Use Disorder (OUD) is a serious condition that affects millions of Americans. Here's what you need to know about its symptoms, treatment, and management.
The first signs of opioid withdrawal can be quite uncomfortable. They may include agitation, anxiety, insomnia, muscle aches, a runny nose, sweating, and excessive yawning. As the withdrawal progresses, symptoms can become more severe, with abdominal cramping, diarrhea, dilated pupils, goosebumps, nausea, vomiting, and more.
The American Society of Addiction Medicine's national practice guideline for the treatment of OUD does not set a time limit on the use of Medication-Assisted Treatment (MAT) like buprenorphine or methadone. These medications can help manage cravings and reduce the risk of relapse.
Reaching out for counseling and behavioral therapy can also be beneficial, but it's not a requirement for all treatment plans. If you're struggling with OUD, it's essential to seek help. The American Society of Addiction Medicine offers patient resources, and you can find a treatment provider or learn more about how to stop taking opioids by visiting their website or calling their helpline at 800-662-4357.
The Centers for Disease Control and Prevention (CDC) recorded opioid overdose cases in the United States starting notably in 2013, with an estimated two million Americans addicted to opioids. It's crucial to remember that seeking help is the first step towards recovery.
Joining a recovery support group may also be beneficial. Sharing experiences and learning from others who are going through the same journey can provide emotional support and encouragement.
It's important to note that discontinuing MAT like buprenorphine can significantly increase the risk of future opioid misuse, overdose, and the need for emergency care services. Many people with OUD may take MAT all their lives. If you wish to taper off MAT, it's crucial to discuss this with your doctor or treatment team for close monitoring.
The intensity of withdrawal symptoms when tapering off opioids depends on factors such as the type of opioid, length of use, other medical conditions, and family history. Working with a treatment team and following a slow tapering program can drastically reduce withdrawal symptoms.
Methadone and buprenorphine require tapering, while naltrexone does not. Naltrexone blocks the effects of opioids, making it a useful tool in preventing relapse.
In conclusion, the best way to manage an OUD is with MAT and a trusted treatment team by your side. Remember, recovery is possible, and there is always help available. If you or someone you know is struggling with OUD, don't hesitate to seek help.
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