Opiate withdrawal syndrome in buprenorphine abusers admitted to a rehabilitation center in Tunisia.

Abstract:

BACKGROUND:Illicit use of high dosage buprenorphine has been well documented in several countries, including Tunisia. OBJECTIVES:The aim of this survey is to assess the buprenorphine withdrawal syndrome time course, and how it may be affected by the population characteristics among subjects admitted to a rehabilitation center in Tunisia. METHODS:A prospective research has permitted study of the socio-demographic characteristics and assessment of buprenorphine withdrawal syndrome among 32 subjects admitted for buprenorphine dependence by using the clinical opiate withdrawal scale. An ANOVA was conducted to examine the effect of different factors on the withdrawal scores. RESULTS:32 subjects were included. Among them 30 were males, 27 had been injecting buprenorphine, 16 were poly-drug abusers and 2 had a history of mental disorders. Buprenorphine withdrawal syndrome was of a mild intensity and had a delayed onset. Withdrawal mean scores varied between 0 and 9, and maximum values were reached at day 21. These scores varied significantly over time (p<0,001). The sex v time interaction and the mode of consumption of buprenorphine had significant effects on the withdrawal scores (p<0,001). The poly-drug consumption and the history of mental disorders did not have any significant effect on the withdrawal scores. CONCLUSION:This study has permitted description of buprenorphine withdrawal syndrome among patients going through a detoxification treatment at a rehabilitation center. Understanding this syndrome would help elaborate effective and suitable buprenorphine dependence management plans.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Derbel I,Ghorbel A,Akrout FM,Zahaf A

doi

10.4314/ahs.v16i4.24

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1067-1077

issue

4

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v16.i4.pg1067

journal_volume

16

pub_type

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