Talk:Opioid withdrawal

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Use

The only use of Opioid withdrawal syndrome is on this page. As a substance withdrawal syndrome it is covered on the page opioid use disorder. --Iztwoz (talk) 06:24, 21 July 2020 (UTC)[reply]

Iztwoz, would you please check these search results? I find that it's used in about a dozen articles. WhatamIdoing (talk) 15:58, 21 July 2020 (UTC)[reply]

Hello WhatamIdoing, the Google search I did showed nothing - on looking again it has one or two mentions after page 3. I did come across one for US health providers which is good. However, the items mentioned on the pages you pointed to are mostly entered as linked terms that redirect to Opiate use disorder; opiate use disorder is used on several hatnotes on the different pages. The linked entry is an existing redirect to the Opiate use disorder page - hence the new entry's use of capital letters. I can see no benefit of there being a new separate page. DSM-5 refers to any substance use withdrawal as a syndrome. The relevant opioid section is just headed Opioid withdrawal (292.0) (F11.23) (page 547) (I would suggest an entry (somewhere) for Neonatal opioid withdrawal syndrome which is well referred to. The new page adds nothing save for some chemistry diagrams; Opiate use disorder though only C rated is a very comprehensive page and covers all that the new page covers in much more detail and with plenty of refs. Best --Iztwoz (talk) 19:08, 21 July 2020 (UTC)[reply]

https://pubmed.ncbi.nlm.nih.gov/?term=%22Opioid+withdrawal+syndrome%22&sort=date&filter=pubt.meta-analysis&filter=pubt.review&filter=pubt.systematicreview gives me 43 reviews using this specific (quoted) name. Google Scholar claims 3,420 Ghits. Google Books finds the quoted phrase in more than 250 books. WhatamIdoing (talk) 19:37, 21 July 2020 (UTC)[reply]

Thanks - must brush up my search skills!--Iztwoz (talk) 22:28, 21 July 2020 (UTC)[reply]

Or teach your computer. I just noticed and un-checked the box in Google settings about Google learning what kinds of results I wanted to get, so all of this is likely to vary by person. (It's too bad that we couldn't just have a "MEDRS filter" on search engines.) WhatamIdoing (talk) 22:48, 21 July 2020 (UTC)[reply]

ICD-10 codes

In the US (ICD-10-CM) coding system, this appears to be specifically F11.23. WhatamIdoing (talk) 16:02, 21 July 2020 (UTC)[reply]

The US coding system is DSM5.--Iztwoz (talk) 19:10, 21 July 2020 (UTC)[reply]

I don't think that DSM5 is used for billing purposes anywhere in the US. WhatamIdoing (talk) 19:31, 21 July 2020 (UTC)[reply]

They mean acute opioid withdrawal

The page conflates, opioid use disorder which occurs in chronically dependent individuals with an acute withdrawal syndrome which can occur in both people undergoing normal opioid therapy and those with an opioid use disorder. I don't know if this is already covered somewhere else but it is a thing. PainProf (talk) 00:21, 22 July 2020 (UTC)[reply]

Additional sources for expansion

Here are the best sources I know of for this topic I'll have a go at rewriting treatment next.

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Neonates - we should discuss neonatal withdrawl too I think.

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There is also a top level overview in principles of neural science (Kandel). One important thing to make clear when writing is that physical withdrawal is not the cause of addiction. This was a previously held erroneous belief that led to people being held until they had passed withdrawal without treating the underlying addiction. This universally causes relapse because they have separate aetiological causes. PainProf (talk) 12:28, 22 July 2020 (UTC)[reply]

Also one of the sources we are using does indeed say naloxone and naltrexone this may need clarification as these are typical triggers of withdrawal syndrome. PainProf (talk) 12:30, 22 July 2020 (UTC)[reply]

Merger Proposal

Given the above discussions, I have proposal that this new article be merged into the proper existing article, Opioid use disorder (a connection suggested by someone above). The proposal can be discussed at Talk:Opioid use disorder/Archive 1#Merger Proposal (July 2020). ---DOOMSDAYER520 (Talk|Contribs) 15:47, 22 July 2020 (UTC)[reply]

"Proper article" according to whom? As was also (correctly) noted above, opiate withdrawal is not exclusive to individuals who have a "use disorder": people discontinuing opioid use after a prolonged period of prescribed use for pain management after, e.g., injury, surgery, etc, also often experience withdrawal symptoms. To cover withdrawal only as a symptom of a "use disorder" would be horrendously POV, as it would imply that any regular person that experiences withdrawal symptoms after cessation of prolonged, prescribed use for pain management is to blame for their symptoms and/or that they have a substance use disorder. 2600:1702:4960:1DE0:D8A0:BDBC:2DED:46C5 (talk) 04:02, 30 October 2021 (UTC)[reply]

This article was stay its own article, one reason was stated above and another is that there already is a withdrawal section in that article. Khinsonycp (talk) 02:21, 5 October 2022 (UTC)[reply]

References

^ Schuckit, Marc A. (2016-07-27). "Treatment of Opioid-Use Disorders". https://doi.org/10.1056/NEJMra1604339. doi:10.1056/nejmra1604339. Retrieved 2020-07-22. {{cite web}}: External link in |website= (help)
^ Sneyers, Barbara; Duceppe, Marc-Alexandre; Frenette, Anne Julie; Burry, Lisa D.; Rico, Philippe; Lavoie, Annie; Gélinas, Céline; Mehta, Sangeeta; Dagenais, Maryse; Williamson, David R.; Perreault, Marc M. (2020-06-26). "Strategies for the Prevention and Treatment of Iatrogenic Withdrawal from Opioids and Benzodiazepines in Critically Ill Neonates, Children and Adults: A Systematic Review of Clinical Studies". Drugs. doi:10.1007/s40265-020-01338-4. ISSN 1179-1950. PMC 7317263. PMID 32592134.
^ Wachman, Elisha M.; Schiff, Davida M.; Silverstein, Michael (2018-04-03). "Neonatal Abstinence Syndrome: Advances in Diagnosis and Treatment". JAMA. 319 (13): 1362–1374. doi:10.1001/jama.2018.2640. ISSN 1538-3598. PMID 29614184.

Wiki Education assignment: Technical and Scientific Communication

This article was the subject of a Wiki Education Foundation-supported course assignment, between 22 August 2022 and 9 December 2022. Further details are available on the course page. Student editor(s): Khinsonycp (article contribs).

— Assignment last updated by Estehman (talk) 15:26, 21 September 2022 (UTC)[reply]

Merge proposal

The article on Amorphinism, created as part of a student project, is better merged within this article on the broader topic of Opioid withdrawal. Neither page is long enough to warrant separating these heavily-overlapping topics. Klbrain (talk) 12:41, 8 August 2024 (UTC)[reply]

Strongly support - Amorphinism is just a description of opioid withdrawal from morphine. There is no need for it to be a whole separate article. Also, it is written as a medical condition, which is understandable, but inaccurate since it really is just opioid withdrawal. Nothing special from morphine withdrawal comparing to other opioids, it just varies on potency. Cultural aspect of it is not notable enough either. Slothwizard (talk) 08:58, 14 October 2024 (UTC)[reply]

Merger complete. Klbrain (talk) 10:20, 24 November 2024 (UTC)[reply]

[1] Schuckit, Marc A. (2016-07-27). "Treatment of Opioid-Use Disorders". https://doi.org/10.1056/NEJMra1604339. doi:10.1056/nejmra1604339. Retrieved 2020-07-22. {{cite web}}: External link in |website= (help)

[2] Sneyers, Barbara; Duceppe, Marc-Alexandre; Frenette, Anne Julie; Burry, Lisa D.; Rico, Philippe; Lavoie, Annie; Gélinas, Céline; Mehta, Sangeeta; Dagenais, Maryse; Williamson, David R.; Perreault, Marc M. (2020-06-26). "Strategies for the Prevention and Treatment of Iatrogenic Withdrawal from Opioids and Benzodiazepines in Critically Ill Neonates, Children and Adults: A Systematic Review of Clinical Studies". Drugs. doi:10.1007/s40265-020-01338-4. ISSN 1179-1950. PMC 7317263. PMID 32592134.

[3] Wachman, Elisha M.; Schiff, Davida M.; Silverstein, Michael (2018-04-03). "Neonatal Abstinence Syndrome: Advances in Diagnosis and Treatment". JAMA. 319 (13): 1362–1374. doi:10.1001/jama.2018.2640. ISSN 1538-3598. PMID 29614184.

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