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General Medicine

Opioid Use Disorder

Laurel Banach, M.D. Reviewed 04/2024
 


BASICS

DESCRIPTION

Opioids are a class of medication that are commonly used for analgesia or pain relief with the concurrent potential for central nervous system depression and/ or feelings of euphoria...

DIAGNOSIS

HISTORY

A majority of the diagnostic criteria can be obtained by history alone. Diagnosis of OUD is outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM 5...

TREATMENT

GENERAL MEASURES

  • Treatment mainstays include both medications for opioid use disorder (MOUD) and a variety of therapy interventions performed by trained professionals. 

  • Intranasal naloxone (N...

ONGOING CARE

PATIENT EDUCATION

  • All patients with OUD should discuss harm reduction practices to reduce chronic illnesses, including utilizing needle exchanges or pharmacies to obtain clean needles for ...

REFERENCES

1
Annual Surveillance Report of Drug-Related Risks and Outcomes. CDC National Center for Injury Prevention and Control. 2019.
2
Kaye AD, Jones MR, Kaye AM, et al. Prescription Opioid Abuse in ...

CODES

ICD10

  • F11.10 Opioid abuse, uncomplicated

  • F11.90 Opioid use, unspecified, uncomplicated

  • F11.1 Opioid abuse

  • F11.11 Opioid abuse, in remission

  • F11.12 Opioid abuse with intoxication

  • F11.120 Opioid abuse w...

CLINICAL PEARLS

  • Treatment includes both medication-assisted treatment (MAT) and therapy interventions performed by trained professionals. 

  • Intranasal naloxone (Narcan) should be prescribed to all pati...

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