Description

Protracted Withdrawal Syndrome refers to withdrawal symptoms lasting weeks to months after the initial discontinuation.


Synonym: Postacute Withdrawal Syndrome (PAWS)

 

Duration: weeks to months or even years

 

Severity of symptoms: mild to severe

 

Pattern: constant or fluctuating

 

Symptoms may include:

(1) somatic (headache, fatigue, myalgia, tremor, other)

(2) affective (anxiety, depression, agitation, other)

(3) sleep problems

(4) cognitive impairment

(5) cravings

 

Protracted withdrawal can be seen with:

(1) benzodiazepines

(2) opiates (morphine, heroin, other)

(3) antidepressants

(4) cocaine

(5) ethanol


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