Maternal opioid withdrawal symptoms

Opioid withdrawal signs and symptoms

Mild withdrawal signs and symptoms include

Generalized anxiety, irritability

Opioid craving

Restlessness

Slight aching of muscles, joints, and bones

Generalized pain

Lower back pain

Mild to moderate withdrawal signs and symptoms include

Tension

Restless sleep

Mydriasis

Lethargy

Diaphoresis

Moderate withdrawal signs and symptoms include

Chills alternating with flushing and diaphoresis

Nausea and/or stomach cramps

Rhinorrhea

Moderate aching of muscles, joints, and bones

Anorexia

Yawning

Lacrimation

Goose flesh (earlier if client is in a cold, drafty room)

Elevated pulse and blood pressure

Moderate to severe withdrawal signs and symptoms include

Diarrhea

Vomiting

Tremors

Tachycardia (pulse over 100 beats per minute)

Increased respiratory rate and depth

Severe withdrawal signs and symptoms include

Doubling over with stomach cramps

Kicking movements

Elevated temperature (usually low grade, less than 100°F)

Note: Withdrawal signs and symptoms differ in their order of appearance from one individual to another. Some individuals may not exhibit certain withdrawal signs and symptoms. Signs may also include uterine irritability, increased fetal activity, or, rarely, hypotension.

Reproduced from: Alcohol and other drug treatment guidelines for pregnant, substance-using women. In: Treatment Improvement Protocol Series 2: Pregnant, Substance-abusing Women, Mitchell JL (Ed), Center for Substance Abuse Treatment, Rockville, MD 1995.

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Maternal opioid withdrawal symptoms