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Substance withdrawal syndrome

MedGen UID:
20990
Concept ID:
C0038587
Mental or Behavioral Dysfunction
Synonyms: Substance Withdrawal Syndrome; Substance Withdrawal Syndromes; Syndrome, Substance Withdrawal; Syndromes, Substance Withdrawal; Withdrawal Syndrome, Substance; Withdrawal Syndromes, Substance
SNOMED CT: Substance withdrawal syndrome (1254795002); Substance withdrawal (1254795002); Withdrawal syndrome (1254795002)
 
Monarch Initiative: MONDO:0005567

Definition

A substance-specific organic brain syndrome that follows the discontinuation of administration or use, or reduction in intake of an addictive substance, e.g. opioids, barbiturates and alcohol; amphetamines or similarly acting sympathomimetics; cocaine; nicotine; sedatives, hypnotics, or anxiolytics. Syndrome manifests with diverse, often painful physical and psychological symptoms, which include but not limited to intense drug craving, anxiety, depression, insomnia, nausea, perspiration, body aches, tremors, hallucinations, and convulsions. [from NCI]

Professional guidelines

PubMed

Saulino M, Anderson DJ, Doble J, Farid R, Gul F, Konrad P, Boster AL
Neuromodulation 2016 Aug;19(6):632-41. Epub 2016 Jul 19 doi: 10.1111/ner.12467. PMID: 27434299
Wu SL, Leung AW, Yew DT
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Landry MJ, Smith DE, McDuff DR, Baughman OL 3rd
J Am Board Fam Pract 1992 Mar-Apr;5(2):167-75. PMID: 1575069

Recent clinical studies

Etiology

Peng L, Morford KL, Levander XA
Med Clin North Am 2022 Jan;106(1):113-129. doi: 10.1016/j.mcna.2021.08.012. PMID: 34823725
Yanta J, Swartzentruber G, Pizon A
Emerg Med Pract 2021 Mar 15;23(Suppl 3):1-41. PMID: 33729735
Farrokh S, Roels C, Owusu KA, Nelson SE, Cook AM
Neurocrit Care 2021 Apr;34(2):593-607. Epub 2020 Aug 13 doi: 10.1007/s12028-020-01061-8. PMID: 32794143
Hasin DS, O'Brien CP, Auriacombe M, Borges G, Bucholz K, Budney A, Compton WM, Crowley T, Ling W, Petry NM, Schuckit M, Grant BF
Am J Psychiatry 2013 Aug;170(8):834-51. doi: 10.1176/appi.ajp.2013.12060782. PMID: 23903334Free PMC Article
Inturrisi CE
Clin J Pain 2002 Jul-Aug;18(4 Suppl):S3-13. doi: 10.1097/00002508-200207001-00002. PMID: 12479250

Diagnosis

Sethi R, Ravishankar DA, Nagireddy R
Prim Care Companion CNS Disord 2021 Feb 18;23(1) doi: 10.4088/PCC.19l02457. PMID: 34000148
Soyka M
N Engl J Med 2017 Mar 23;376(12):1147-1157. doi: 10.1056/NEJMra1611832. PMID: 28328330
O'brien CP
J Clin Psychiatry 2005;66 Suppl 2:28-33. PMID: 15762817
Inturrisi CE
Clin J Pain 2002 Jul-Aug;18(4 Suppl):S3-13. doi: 10.1097/00002508-200207001-00002. PMID: 12479250
Murray TD, Berger A
Va Med Q 1997 Summer;124(3):184-7, 189. PMID: 9227048

Therapy

Cosci F, Chouinard G
Psychother Psychosom 2020;89(5):283-306. Epub 2020 Apr 7 doi: 10.1159/000506868. PMID: 32259826
Ussher MH, Faulkner GEJ, Angus K, Hartmann-Boyce J, Taylor AH
Cochrane Database Syst Rev 2019 Oct 30;2019(10) doi: 10.1002/14651858.CD002295.pub6. PMID: 31684691Free PMC Article
Lindson N, Klemperer E, Hong B, Ordóñez-Mena JM, Aveyard P
Cochrane Database Syst Rev 2019 Sep 30;9(9):CD013183. doi: 10.1002/14651858.CD013183.pub2. PMID: 31565800Free PMC Article
Schmidt KJ, Doshi MR, Holzhausen JM, Natavio A, Cadiz M, Winegardner JE
Ann Pharmacother 2016 May;50(5):389-401. Epub 2016 Feb 9 doi: 10.1177/1060028016629161. PMID: 26861990
Prins KW, Neill JM, Tyler JO, Eckman PM, Duval S
JACC Heart Fail 2015 Aug;3(8):647-53. doi: 10.1016/j.jchf.2015.03.008. PMID: 26251094Free PMC Article

Prognosis

Davies J, Read J
Addict Behav 2019 Oct;97:111-121. Epub 2018 Sep 4 doi: 10.1016/j.addbeh.2018.08.027. PMID: 30292574
Wood E, Albarqouni L, Tkachuk S, Green CJ, Ahamad K, Nolan S, McLean M, Klimas J
JAMA 2018 Aug 28;320(8):825-833. doi: 10.1001/jama.2018.10574. PMID: 30167704Free PMC Article
Prins KW, Neill JM, Tyler JO, Eckman PM, Duval S
JACC Heart Fail 2015 Aug;3(8):647-53. doi: 10.1016/j.jchf.2015.03.008. PMID: 26251094Free PMC Article
Goodson CM, Clark BJ, Douglas IS
Alcohol Clin Exp Res 2014 Oct;38(10):2664-77. doi: 10.1111/acer.12529. PMID: 25346507
Budney AJ, Hughes JR, Moore BA, Vandrey R
Am J Psychiatry 2004 Nov;161(11):1967-77. doi: 10.1176/appi.ajp.161.11.1967. PMID: 15514394

Clinical prediction guides

Pribék IK, Kovács I, Kádár BK, Kovács CS, Richman MJ, Janka Z, Andó B, Lázár BA
Drug Alcohol Depend 2021 Mar 1;220:108536. Epub 2021 Jan 19 doi: 10.1016/j.drugalcdep.2021.108536. PMID: 33503582
Farrokh S, Roels C, Owusu KA, Nelson SE, Cook AM
Neurocrit Care 2021 Apr;34(2):593-607. Epub 2020 Aug 13 doi: 10.1007/s12028-020-01061-8. PMID: 32794143
Ávila-Alzate JA, Gómez-Salgado J, Romero-Martín M, Martínez-Isasi S, Navarro-Abal Y, Fernández-García D
Medicine (Baltimore) 2020 Jan;99(5):e18502. doi: 10.1097/MD.0000000000018502. PMID: 32000360Free PMC Article
Zeng L, Tao Y, Hou W, Zong L, Yu L
Medicine (Baltimore) 2018 Aug;97(34):e11905. doi: 10.1097/MD.0000000000011905. PMID: 30142795Free PMC Article
Hendey GW, Dery RA, Barnes RL, Snowden B, Mentler P
Am J Emerg Med 2011 May;29(4):382-5. Epub 2010 Mar 25 doi: 10.1016/j.ajem.2009.10.010. PMID: 20825805

Recent systematic reviews

Bahji A, Bach P, Danilewitz M, Crockford D, El-Guebaly N, Devoe DJ, Saitz R
Addiction 2022 Oct;117(10):2591-2601. Epub 2022 Mar 15 doi: 10.1111/add.15853. PMID: 35194860Free PMC Article
Monahan K, Cuzens-Sutton J, Siskind D, Kisely S
Aust N Z J Psychiatry 2021 Aug;55(8):772-783. Epub 2020 Oct 16 doi: 10.1177/0004867420965693. PMID: 33059460
Ávila-Alzate JA, Gómez-Salgado J, Romero-Martín M, Martínez-Isasi S, Navarro-Abal Y, Fernández-García D
Medicine (Baltimore) 2020 Jan;99(5):e18502. doi: 10.1097/MD.0000000000018502. PMID: 32000360Free PMC Article
Fava GA, Benasi G, Lucente M, Offidani E, Cosci F, Guidi J
Psychother Psychosom 2018;87(4):195-203. Epub 2018 Jul 17 doi: 10.1159/000491524. PMID: 30016772
Baandrup L, Ebdrup BH, Rasmussen JØ, Lindschou J, Gluud C, Glenthøj BY
Cochrane Database Syst Rev 2018 Mar 15;3(3):CD011481. doi: 10.1002/14651858.CD011481.pub2. PMID: 29543325Free PMC Article

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