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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-01-01
|
| Series: | Indian Journal of Psychological Medicine |
| Subjects: | |
| Online Access: | http://www.ijpm.info/article.asp?issn=0253-7176;year=2017;volume=39;issue=5;spage=665;epage=667;aulast=Das |
| _version_ | 1818741687145463808 |
|---|---|
| author | Sourav Das Divyashree Sah Shiladitya Nandi Payel Das |
| author_facet | Sourav Das Divyashree Sah Shiladitya Nandi Payel Das |
| author_sort | Sourav Das |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-18T02:00:35Z |
| format | Article |
| id | doaj.art-5e2c78a7ad1c43dcb0ae6115f7c3a537 |
| institution | Directory Open Access Journal |
| issn | 0253-7176 |
| language | English |
| last_indexed | 2024-12-18T02:00:35Z |
| publishDate | 2017-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Psychological Medicine |
| spelling | doaj.art-5e2c78a7ad1c43dcb0ae6115f7c3a5372022-12-21T21:24:47ZengSAGE PublishingIndian Journal of Psychological Medicine0253-71762017-01-0139566566710.4103/0253-7176.217027Opioid withdrawal presenting as delirium and role of buprenorphine: A case seriesSourav DasDivyashree SahShiladitya NandiPayel DasOpioid 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.http://www.ijpm.info/article.asp?issn=0253-7176;year=2017;volume=39;issue=5;spage=665;epage=667;aulast=DasBuprenorphinedeliriumheroin withdrawalopioid withdrawalopioid withdrawal delirium |
| spellingShingle | Sourav Das Divyashree Sah Shiladitya Nandi Payel Das Opioid withdrawal presenting as delirium and role of buprenorphine: A case series Indian Journal of Psychological Medicine Buprenorphine delirium heroin withdrawal opioid withdrawal opioid withdrawal delirium |
| 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 | Buprenorphine delirium heroin withdrawal opioid withdrawal opioid withdrawal delirium |
| url | http://www.ijpm.info/article.asp?issn=0253-7176;year=2017;volume=39;issue=5;spage=665;epage=667;aulast=Das |
| work_keys_str_mv | AT souravdas opioidwithdrawalpresentingasdeliriumandroleofbuprenorphineacaseseries AT divyashreesah opioidwithdrawalpresentingasdeliriumandroleofbuprenorphineacaseseries AT shiladityanandi opioidwithdrawalpresentingasdeliriumandroleofbuprenorphineacaseseries AT payeldas opioidwithdrawalpresentingasdeliriumandroleofbuprenorphineacaseseries |