Opioid Use Disorder

Laurel Banach, M.D. and Pamela R. Tsinteris, MPH, MD Reviewed 06/2022

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 medication-assisted treatment (MAT) and a variety of therapy interventions performed by trained professionals.
Intranasal naloxone (Narcan) s...

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

Annual Surveillance Report of Drug-Related Risks and Outcomes. CDC National Center for Injury Prevention and Control. 2019.

Kaye AD, Jones MR, Kaye AM, et al. Prescription Opioid Abuse in ...

ADDITIONAL READING

Kapman K, Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Us...

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 patie...

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