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Subclasses

Criteria (11)

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Mild: 2-3
Moderate: 4-5
Severe: 6+

10 classes

alcohol, caffeine, cannabis, hallucinogens, inhalants, opioids, “sedatives, hypnotics, and anxiolytics,” stimulants, tobacco, and other (or unknown) substances.

	Intoxication	Withdrawal
‣	🙂 mood elevation, anxiety, sedation, behavioural disinhibition, and respiratory depression	anxiety, tremor, seizures, insomnia
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‣	‣
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‣
‣	🙂 mood elevation, decreased appetite or anorexia, psychomotor agitation, insomnia, cardiac arrhythmias, tachycardia, anxiety, psychosis	“post-use crash”: depression, fatigue/lethargy, increased appetite, insomnia, and vivid nightmares
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‣ (Cannabis)	dissociation, psychosis, visual and/or auditory hallucinations	LSD/PCP → no withdrawal
MDMA/Cannabis → like stimulant
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Condition	‣ (Sedative)	‣ (Sedative)	‣ (Sedative)	‣	‣	‣
Drug (Blue = First line)	‣ > ‣,
‣, ‣, ‣, ‣	NA	‣, ‣	NA	NA	‣ + ‣, ‣, Varenicline mono, NRT mono
Psychotherapy	‣	MI	MI	Contingency Management	MI	MI, Set Quit Date
Intox S/S	Ataxia, Amnesia, dis-inhibition, r/o DKA	‣ , Incoordination, ‣	‣ + ‣ / AMS / impaired memory	‣, ‣, ‣ , chills/nausea, UDS+	‣, ‣, Red Eye, Tachycardia, dry moth (2/4)	NA
Intox tm	Supportive Care	Supportive care, IMV	‣, IMW	Supportive, +/- D2i	Supportive, +/- D2i	NA
Withdrawal Timeline	6-12 hr to 5 dys	2-7 dys.	min - dys	hrs - dys	3 dy-1wk, insomnia 30 dys	NA
Withdrawal S/S	Tremor → Hallucination (‣)→ ‣ → ‣	ANS excitation, Rebound Anxiety, ‣, ‣	ANS excitation, Anxiety, ‣, ‣	‣, Fatigue, Depression	Non-specific. Restless, ‣, Anxiety, Depression, ‣	NA
Withdrawal tm	‣ / ‣, ‣, ‣	Same as EtOH.
Avoid by Prolonged taper (-5 mg or 10% per wk)	‣, ‣, ‣	Supportive Care	Supportive Care	NA