Precipitated Withdrawal
An Emergency Medicine Guide to Medication for Opioid Use Disorder
Session originally hosted June 2024.
When using medication to treat a patient with opioid use disorder (OUD), a common concern is the potential for precipitated withdrawal. However, this potential complication is exceedingly rare when opioid withdrawal is treated appropriately. Conversely, the risks of morbidity and mortality for patients with untreated OUD are very high and far exceed the risk of transient precipitated withdrawal.
In this training, we will focus on understanding the pharmacology of precipitated withdrawal. Clinical providers will understand the risks associated with methadone and fentanyl use for precipitated withdrawal. By the end of this training, you will gain comfort in the management of precipitated withdrawal in your patients.
At the conclusion of this training, learners should be able to:
- Describe the pharmacology of precipitated withdrawal.
- Explain why fentanyl and methadone puts patients at an increased risk for precipitated withdrawal.
- Conceptualize how to manage precipitated withdrawal in your patients.
1 CME Credit. These opportunities also count toward the DEA eight-hour training requirement on the treatment and management of patients with opioid or other substance use disorders.
Presenters: Jacob Manteuffel, MD and Nick Rademacher, MD
Original Release Date: June 5, 2024
Termination Date: June 5, 2027
Accreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of MyMichigan Health and Michigan Health & Hospital Association. MyMichigan Health is accredited by the Michigan State Medical Society to provide continuing medical education for physicians. MyMichigan Health designates this activity for a maximum of 1 AMA PRA Category I Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Disclosure Statement: Planners, faculty, and others in control of content (either individually or as a group) have no relevant financial relationships with ineligible companies.
Note: Continuing medical education (CME) credits were pursued by the MHA Keystone Center, Please reach out to keystone@mha.org with questions.
