Behavioral Medicine: A Guide for Clinical Practice, 5e >Opioids

Mitchell D. Feldman, John F. Christensen, Jason M. Satterfield, Ryan Laponis+

Table 25-4.“Opioid Review of Systems” for clinically important side effects associated with oral opioid consumption or opioid withdrawal.

General Fatigue, sedation, euphoria, inability to drive, falls, opioid-induced hyperalgesia

HEENT Miosis, dry mouth, watery eyes,* allergy symptoms,* rhinorrhea*

Cardiac Increased blood pressure,* tachycardia*

Pulmonary Decreased respiratory drive, central sleep apnea

Gastrointestinal Nausea, vomiting, constipation, diarrhea*

Skin Pruritus, flushing

Genitourinary Urinary retention

Endocrine Hypogonadism, decreased libido, menstrual irregularities, osteoporosis

Rheumatologic Muscle or joint aches,* inability to get out of bed in the morning without opioids*

Social isolation, anhedonia, increased time and energy spent thinking about opioids, anxiety,*
Psychiatric
restlessness,* insomnia*

*Symptoms associated with opioid withdrawal.

Date of download: 12/27/22 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.