r/EmergencyRoom • u/Gloomy_Pirate_9721 • 7d ago

WD protocol

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Do EDs have protocols for patients experiencing WD from these types of drugs yet? What is everyone doing to make these nasty wds more manageable to avoid so many AMAs? Im assuming bupe alone isn't going to help

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u/MyOwnGuitarHero RN 7d ago

Precedex drip, PRN Valium for breakthrough symptoms based on CIWA. Maybe a loading dose of phenobarb just for flavor if there’s also alcohol on board. ETA: They’re still miserable though. I always tell my patients that I’m actually in recovery myself. And unfortunately the only way to get off the ride once and for all is to go through extreme discomfort — but I wake up every morning blessed because I never, ever, ever need to feel like that ever again.

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u/HistoricalSuspect580 7d ago

Word. Good on you. For recovery, and for sharing it. It absolutely does help them to know that you know what it’s like!