Do Not Do Recommendation
Dihydrocodeine should not be used routinely in opioid detoxification.
Do Not Do Recommendation Details
- Dihydrocodeine should not be used routinely in opioid detoxification.
Source guidance details
- Drug misuse: opioid detoxification (CG52)
- Published date:
- July 2007
- Paragraph number:
- Page number:
View all NICE do not do from this Guidance
- Opioid detoxification should not be routinely offered to people: with a medical condition needing urgent treatment: in police custody, or serving a short prison sentence or a short period of remand; consideration should be given to treating opioid withdrawal symptoms with opioid agonist medication: who have presented to an acute or emergency setting; the primary emergency problem should be addressed and opioid withdrawal symptoms treated, with referral to further drug services as appropriate.
- Clonidine should not be used routinely in opioid detoxification.
- Ultra-rapid and rapid detoxification using precipitated withdrawal should not be routinely offered. This is because of the complex adjunctive medication and the high level of nursing and medical supervision required.
- Accelerated detoxification, using opioid antagonists at lower doses to shorten detoxification, should not be routinely offered. This is because of the increased severity of withdrawal symptoms and the risks associated with the increased use of adjunctive medications.