Concurrent opioid and alcohol withdrawal management.

Concurrent alcohol and opioid withdrawal syndrome is a common and challenging clinical scenario with little published evidence or guidance to inform pharmacotherapy strategies. Concurrent use of benzodiazepines and opioid agonists, which are considered first-line agents for management of each withdrawal syndrome independently, is controversial and often avoided in clinical practice. Strategies to provide effective, simultaneous medication treatment of alcohol and opioid withdrawal while optimizing patient safety are demonstrated through 3 patient cases.

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© 2023 AAPP. The Mental Health Clinician is a publication of the American Association of Psychiatric Pharmacists.

Déclaration de conflit d'intérêts

Disclosures: Psychopharmacology Pearls are review articles intended to highlight both the evidence base available and/or controversial areas of clinical care for psychiatric, neurologic, and substance use disorder conditions as well as strategies of clinical decision-making used by expert clinicians. As pearls, articles reflect the views and practice of each author as substantiated with evidence-based facts as well as opinion and experience. All patient cases in this article represent scenarios that may be encountered in practice but are illustrative or educational in nature. Articles are edited by members of the Psychopharmacology Pearls Editorial Board as well as peer reviewed by MHC reviewers. This article was developed as part of the 2023 Psychopharmacology Pearls product for BCPP recertification credit. The course information and testing center is at https://aapp.org/549207.