TREATMENT SUGGESTIONS FOR OPIATE WITHDRAWAL

Clonidine  0.1 mg 1-2 tabs PO Every 4 hours PRN withdrawal

Phenergan  25 mg  1-2 tabs PO Every 6 hours PRN nausea

Trazadone  50 mg  1-3 tabs PO at bedtime

Hydroxyzine 50 mg  1-2 tabs PO Every 4 hours PRN anxiety

Imodium  Over the counter.  For diarrhea.  PRN.  Follow package 

INSTRUCTIONS

These medications may be continued for anywhere from one week to 60 days.  The length of time needed will be related to the amount and type of narcotic used to create the addiction.

Maintaining hydration is VERY IMPORTANT!!!

Suggest the following recipe: 1/3 part Gatorade (any flavor)
     2/3 part Water
Consume throughout the day.

To wean from narcotics, decrease the amount of narcotic (if the patient still has narcotics) by 5% a day. 

Do NOT add benzodiazepines to the patient's medications. 

If the patient is taking benzodiazepines currently, do not decrease the dose or discontinue their use.  (The reduction of benzodiazepines may be done very slowly in the future).

Never mix Suboxone and benzodiazepines.

Do NOT prescribe Soma.

Refer patient to a center for addiction medicine or detoxification or to a Suboxone provider.

RESOURCES FOR DETOXIFICATION AND/OR ADDICTION ASSISTANCE

Columbia River Mental Health
Center for Dual Diagnosis Recovery
6926 East Fourth Plain Blvd
Post Office Box 1337
Vancouver, WA   98666
360.993.3079
360.993.3047 FAX

WCHS Inc. Vancouver Treatment Solutions
CRC Health Corporation
2009 NE 117th Street, Suite 101
Vancouver, WA  98686
360.566.9112
360.566.9133 FAX

Lifeline Connections
Clark County Detox-16 beds (Sub Acute)
Inpatient (60 beds)
Outpatient Treatment
Director: Lynn Samuel, 360.397.2075 ext. 7484
360.696.1631

Community Service N.W.
Center for Community Health
Outpatient Chemical Dependency Treatment
1601 E Fourth Plain Blvd
Vancouver, WA  98661
360.397.7999
Clinical Manager: Lynn Stott, 360.397.2075 ext. 7911

Changepoint, Inc.
10621 NE Coxley Drive Suite 106
Vancouver, WA  98662

CODA Inc
Substance Abuse Services
1027 East Burnside Street
Portland, OR  97214
503.239.8400

NA-Narcotics Anonymous
360.690.1144

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