Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care, and providers at all levels. is Guideline
should not be considered exclusive of other methods of care reasonably directed at obtaining the
same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Abbreviations
AIDS, Acquired Immunodeficiency Syndrome; ASAM, American Society of Addiction
Medicine; BP, blood pressure; COWS, Clinical Opioid Withdrawal Scale; DSM-5 ,
Diagnostic and Statistical Manual of Mental Disorders, 5th Edition; FDA, Food and
Drug Administration; HIV, Human Immunodeficiency Virus; NSAIDs, Non-Steroidal
Anti-Inflammatory Drugs; OBOT, Office-Based Opioid Treatment; OUD, Opioid
use disorder; OOWS, Objective Opioid Withdrawal Scale; OTP, Opioid Treatment
Program; SOWS, Subjective Opioid Withdrawal Scale; TB, Tuberculosis; UROD, Ultra-
Rapid Opioid Detoxification; WM, withdrawal management
Source
National Practice Guideline for the Use of Medications in the Treatment of Addiction
Involving Opioid Use. Available at: http://www.asam.org/docs/default-source/practice-
support/guidelines-and-consensus-docs/national-practice-guideline.pdf.
Accessed: June 4, 2015.
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ASAMOPI15083b
Resources
1
http://www.asam.org/docs/default-source/practice-support/quality-improvement/
asam-standards-of-care.pdf
2
http://www.asam.org/publications/the-asam-criteria
3
ASAM.GuidelineCentral.com for Calculators
Guideline Committee Members
Sandra Comer, PhD; Chinazo Cunningham, MD, MS; Marc J. Fishman, MD, FASAM;
Adam Gordon, MD, MPH, FASAM; Kyle Kampman, MD, Chair; Daniel Langleben,
MD; Ben Nordstrom, MD, PhD; David Oslin, MD; George Woody, MD; Tricia
Wright, MD, MS; Stephen Wyatt, DO
