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Clinical Institute Narcotic Assessment (CINA) Scale for Withdrawal Symptoms. Measures 11 signs and symptoms commonly seen in patients during narcotic withdrawal. This scale can help gauge the severity of the symptoms and monitor changes in clinical status over time.
Day One/First Dose: Dont use for 8-18 hours. When you feel bad*, Put 4 mg (1/2 tablet or film) under your tongue and keep it there until it dissolves (about 20 minutes). You should feel better soon. If you swallow tablets they will not work.
Common symptoms of withdrawal may include: Trembling and tremors. Muscle pain or aches. Hunger or loss of appetite. Fatigue. Sweating. Irritability and agitation. Depression. Anxiety.
The Clinical Institute Withdrawal Assessment for AlcoholRevised (CIWA-Ar) protocol (Figure 1)1 is the most common method of treating alcohol withdrawal in our institution and it is frequently used by family physicians.
Severe withdrawal symptoms, especially for drugs and alcohol, can include: paranoia. confusion.Symptoms can include: not being able to sleep. irritability. changing moods. depression. anxiety. aches and pains. cravings. tiredness.
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Clinical Institute Narcotic Assessment (CINA) Scale for Withdrawal Symptoms. Measures 11 signs and symptoms commonly seen in patients during narcotic withdrawal. This scale can help gauge the severity of the symptoms and monitor changes in clinical status over time.
The Clinical Opiate Withdrawal Scale (COWS).
The Subjective Opiate Withdrawal Scale (SOWS) consist of 16 symptoms rated in intensity by patients on a 5-point scale of intensity as follows: 0=not at all, 1-a little, 2-moderately, 3-quite a bit, 4-extremely. The total score is a sum of item ratings, and ranges from 0 to 64.

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