Intoxication and withdrawal
symptoms are given across four major drug groups of Alcohol,
Benzodiazepines, Opiates and Amphetamines. Some of the symptoms in mild
to moderate withdrawal, while not life threatening, can result in
extreme discomfort and should not be underestimated.
These signs can be from other causes. For example, influenza symptoms
can mimic opiate withdrawal; fatigue from hepatitis or diahorrea can
resemble opiate intoxication. Careful assessment and/or toxicology
should be undertaken to determine symptom causation.
Rarely, the signs of intoxication identified in this chart can also
result from withdrawal. If so, they may signal a severe withdrawal
syndrome and medical attention should be sought immediately.
Three of the main dangers of withdrawal are:
- Death from overdose while relapsing due to reduced tolerance
- Death from suicide if drug use is a primary coping mechanism if
supports and underling social/pathology are not managed (eg coping
with depression, family violence)
- Child and partner abuse from anxiety induced withdrawal symptoms.
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Contents
Drug
Symptoms Chart (Intoxication & Withdrawal)
Alcohol
Tranquillisers
Opoids
Amphetamines
Drugs & Pregnancy
|
Drug
Symptoms Chart
|
A
l c o h o l |
Intoxication |
Mild
to Moderate Withdrawal |
Severe
Withdrawal |
Ataxia
(difficulty walking)
Slurred
speech
Disinhibition
Low
blood pressure
Smells
of alcohol
|
Tremors
Nausea
Anxiety
Sweats
Sleep
disturbances
|
Delirium
Tremens (DT's)
Visual,
tactile or auditory hallucinations
Seizure
Vomiting
& diahorrea
Depression
|
T
r a n q u i l i z e r s
Benzodiazepines:
eg Valium, Temazepam, Rohypnol, Serepax |
Intoxication |
Mild
to Moderate Withdrawal |
Severe
Withdrawal |
Slurred
speech
Ataxia
Sedation
Nystagmus
(unusual eye
movements)
Low
blood pressure
Drooling
Disinhibited
|
Anxiety
Sleep
disturbances
Hypersensitivity
to noise, light, touch
Perceptual disturbance
Feelings
of unreality
Memory
impairment
Headache
Aches
& pains
Palpitations
|
Depression,
Suicidal
thoughts,
Agoraphobia
Seizure
|
Opoids
Heroin,
Methadone, Codeine |
Intoxication |
Mild
to Moderate Withdrawal |
Severe
Withdrawal |
Sedation
Pinpoint
pupils
Low
blood pressure
Slowed
pulse
Itching
& scratching
|
Lacrimination
(runny eyes)
Rhinorrhoea (runny nose)
Perspiration
Yawning
Restlessness
Insomnia
Dilated pupils
Anorexia/nausea
Weakness
Gooseflesh
Muscle aches, leg cramps
Joint pain, back ache, abdominal cramps
Diarrhoea
Hot and cold flushes
Fatigue
Drug seeking behaviour |
|
A
m p h e t a m i n e s
Dexamphetamine
(Speed). Ritalin, MDMA (Ecstasy) |
Intoxication |
Mild
to Moderate
Withdrawal |
Severe
Withdrawal |
Agitation
Irritability
Grandiosity
Dilated
pupils
Fine
tremor
Sweating
Rapid
speech & movement
|
Anxiety
Agitation
Depression
Fatigue
Extended
sleep
Increased
appetite
|
Psychosis
Suicidal
thoughts
Existential
crisis
|
Drugs and
Pregnancy
While it is generally advisable to be drug-free during pregnancy
(apart from the ones prescribed by a doctor), withdrawing from alcohol
or other drugs while pregnant may carry risks. It is best to seek advice
from a doctor or drugs specialist worker before either using or
withdrawing from alcohol or other drug use while pregnant.
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Much of this
material was adapted from: Frank L, & Pead J, (1995) New
Concepts in Drug Withdrawal: A Resource Handbook Monograph No 4
University of Melbourne and Department of Public Health and Community
Medicine, Parkville.
This excellent manual was developed as a part of the Services for
Alcohol and Drug Withdrawal (SAW) Project in Victoria. Telephone
(03) 344 4000 Fax (03) 344 5104
A valuable series of self-help books on stopping drug use and dealing
with withdrawal called the Getting Through
Withdrawal is available from Turning Point
Alcohol & Drug Centre Inc. 54 Gertrude St, Fitzroy, Victoria 3065.
Ph (03) 9254 8050 Fax (03) 9416 3420
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Related
Internet Links
The
following GP Information Supplements were developed by the NSW Central
Coast Area Health Service and are located on the CEIDA
web site in PDF format.
Detoxification
from Alcohol PDF 15 KB CEIDA
Benzodiazepine
Amphetamine
Dependence & Withdrawal PDF 14 KB CEIDA
Heroin
Addiction (including intoxication
& withdrawal information) PDF 17 KB CEIDA
Cannabis
Treatment & Dependence (including intoxication & withdrawal
information) PDF 17 KB CEIDA
Smoking
Cessation PDF 15 KB CEIDA |