Establishing a research agenda for the study and assessment of opioid withdrawal

Perspective
by
Dunn, K. E. & Strain, E. C.

Release Date

2024

Geography

USA

Language of Resource

English

Full Text Available

No

Open Access / OK to Reproduce

No

Peer Reviewed

Yes

Objective

This personal view paper summarises substantial gaps in our understanding of opioid withdrawal that are likely to continue to limit major advancements in its treatment. 

Findings/Key points

Nine actionable targets are delineated: develop a consensus definition of opioid withdrawal; understand withdrawal symptomatology after exposure to different opioids (particularly fentanyl); understand precipitated opioid withdrawal; understand how co-exposure of other drugs (eg, xylazine and stimulants) influences withdrawal expression; examine individual variation in withdrawal phenotypes; precisely characterise the protracted withdrawal syndrome; identify biomarkers of opioid withdrawal severity; identify predictors of opioid withdrawal severity; and understand which symptoms are most closely associated with treatment attrition or relapse.

Keywords

Illegal drugs
Opioids
Stimulants
Substitution/OAT
Withdrawal