Development of rhabdomyolysis after rapid opioid detoxification with subcutaneous naltrexone maintenance therapy.

Abstract

Academic Emergency MedicineVolume 7, Issue 3 p. 303-305 Free Access Development of Rhabdomyolysis after Rapid Opioid Detoxification with Subcutaneous Naltrexone Maintenance Therapy Arjun S. Chanmugam MD, Arjun S. Chanmugam MD ([email protected]Search for more papers by this authorMichelle Hengeller MD, Michelle Hengeller MD Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MDSearch for more papers by this authorUgo Ezenkwele MD, Ugo Ezenkwele MD Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MDSearch for more papers by this author Arjun S. Chanmugam MD, Arjun S. Chanmugam MD ([email protected]Search for more papers by this authorMichelle Hengeller MD, Michelle Hengeller MD Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MDSearch for more papers by this authorUgo Ezenkwele MD, Ugo Ezenkwele MD Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Baltimore, MDSearch for more papers by this author First published: 28 June 2008 https://doi.org/10.1111/j.1553-2712.2000.tb01084.xCitations: 11AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat References 1 Bowersox J. NIDA, website: http:www.nida.nih.govNIDAnotesNNVollOn4HeroinUpdate.html. 2 National Institute on Drug Abuse, NIH, website: http:www.nida.nih.govInfofaxheroin.html. 3 Brewer C, Lavan M et al. Rapid opiate detoxification and naltrexone induction under general anesthesia and assisted ventilation: experience with 510 patients in four countries. London : Royal College of Psychiatrists, 7-1996. 4 Loimer N, Linzmayer L, Schmid R, Grunberger J. Similar efficacy of abrupt and gradual opiate detoxification. Am J Drug Alcohol Abuse. 1991; 17: 307– 12. 5 Allen T, Blais R. Opioids. In: P Rosen, R Barkin (eds). Emergency Medicine Concepts and Clinical Practice. St. Louis : Mosby, 1998, pp 1379– 91. 6 Bartter T, Gooberman L. Rapid opiate detoxification. Am J Drug Alcohol Abuse. 1996; 22: 489– 95. 7 Presslich O, Loimer N, Lenz K, Schmid R. Opiate detoxification under general anesthesia by large doses of naloxone. Clin Toxicol. 1989; 27: 263– 70. 8 Stine S, Kosten T. Use of drug combinations in treatment of opioid withdrawal. J Clin Psychopharmacol. 1992; 12: 203– 9. 9 Shufman E, Porat S, Witztum E, et al. The efficacy of naltrexone in preventing reabuse of heroin after detoxification. Biol Psychiatry. 1994; 35: 935– 45. 10 Charney D, Heninger G, Kleber H. The combined use of clonidine and naltrexone as a rapid, safe, and effective treatment of abrupt withdrawal from methadone. Br J Psychiatry. 1986; 143: 831– 7. 11 Fraser A. Clinical toxicology of drugs used in the treatment of opiate dependency. Clin Lab Med. 1990; 10(2). 12 Stephanson J. Experts debate merits of 1-day opiate detoxification under anesthesia. JAMA. 1997; 277: 363– 4. 13 Bertorini T. Myoglobinuria, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome. Neurol Clin. 1997; 15: 649– 71. 14 Counselman F, McLaughlin E, Kardon E, Bhambhani-Bhavnani A. Creatine phosphokinase elevation in patients presenting to the emergency department with cocaine-related complaints. Am J Emerg Med. 1997; 15: 221– 3. Citing Literature Volume7, Issue3March 2000Pages 303-305 ReferencesRelatedInformation