Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series

Opioid withdrawal is very rarely characterized by delirium unlike alcohol or benzodiazepine withdrawal. PubMed search through October 2016 reveals only two case series on delirium as feature of withdrawal in opioid dependence syndrome. We report two cases of opioid withdrawal (heroin) presenting wit...

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Autores principales: Das, Sourav, Sah, Divyashree, Nandi, Shiladitya, Das, Payel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688897/
https://www.ncbi.nlm.nih.gov/pubmed/29200566
http://dx.doi.org/10.4103/0253-7176.217027
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author Das, Sourav
Sah, Divyashree
Nandi, Shiladitya
Das, Payel
author_facet Das, Sourav
Sah, Divyashree
Nandi, Shiladitya
Das, Payel
author_sort Das, Sourav
collection PubMed
description Opioid withdrawal is very rarely characterized by delirium unlike alcohol or benzodiazepine withdrawal. PubMed search through October 2016 reveals only two case series on delirium as feature of withdrawal in opioid dependence syndrome. We report two cases of opioid withdrawal (heroin) presenting with delirium when low-dose buprenorphine (2 mg/day) was added. Both the cases had no other substance abuse history and nil contributory past and family history. Both of them were improved after increasing the buprenorphine dosage to 6–8 mg/day. The possibility of delirium as a part of withdrawal symptom or as a phenomenon induced by buprenorphine or due to impurities in the heroin used is discussed.
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spelling pubmed-56888972017-12-01 Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series Das, Sourav Sah, Divyashree Nandi, Shiladitya Das, Payel Indian J Psychol Med Case Report Opioid withdrawal is very rarely characterized by delirium unlike alcohol or benzodiazepine withdrawal. PubMed search through October 2016 reveals only two case series on delirium as feature of withdrawal in opioid dependence syndrome. We report two cases of opioid withdrawal (heroin) presenting with delirium when low-dose buprenorphine (2 mg/day) was added. Both the cases had no other substance abuse history and nil contributory past and family history. Both of them were improved after increasing the buprenorphine dosage to 6–8 mg/day. The possibility of delirium as a part of withdrawal symptom or as a phenomenon induced by buprenorphine or due to impurities in the heroin used is discussed. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5688897/ /pubmed/29200566 http://dx.doi.org/10.4103/0253-7176.217027 Text en Copyright: © 2017 Indian Journal of Psychological Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Das, Sourav
Sah, Divyashree
Nandi, Shiladitya
Das, Payel
Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series
title Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series
title_full Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series
title_fullStr Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series
title_full_unstemmed Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series
title_short Opioid Withdrawal Presenting as Delirium and Role of Buprenorphine: A Case Series
title_sort opioid withdrawal presenting as delirium and role of buprenorphine: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688897/
https://www.ncbi.nlm.nih.gov/pubmed/29200566
http://dx.doi.org/10.4103/0253-7176.217027
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