5min chapter

Emergency Medicine Cases cover image

EM Quick Hits 27 Colchicine for COVID, Bicarb in Cardiac Arrest, Troponin in CKD, GHB Withdrawal, Iloprost for Frostbite, Patient Complaints

Emergency Medicine Cases

CHAPTER

GHB Withdrawal Management

Withdrawal typically develops within the first six to 72 hours following cessation of chronic GHB. Mild withdrawal involves anxiety, tremor and insomnia. This can progress to severe with confusion, delirium,. psychosis, paranoia, hallucinations and autonomic instability. tapering with pharmaceutical GHB has become a strategy to assist with GHB detoxification.

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