Answer BOF 3.39

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BOF: 3.39

A 32-year-old male presents to the emergency department with a history of nausea, diarrhoea and abdominal cramps. He is a known drug abuser. On examination he is irritable, has rhinorrhoea and excessive lacrimation. His skin is flushed; there is gooseflesh (piloerection). He has a pulse rate of 125 beats / minute, his blood pressure is 170/110. He has dilated pupils, involuntary movements and when questioned he admits to having muscle pains.

Which of the following would be effective in treating this condition?

a)      Naloxone

b)      50 % dextrose 50 mls bolus

c)      Diazepam

d)      Flumazenil

e)     Methadone

Answer: e)

The clinical features suggest the patient is suffering from opiate withdrawal and the most effective way of alleviating these features would be the use of methadone

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