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Psychiatry Opioid-Related Disorders a68753b9

Withdrawal of which of the following causes piloerecton ?

A
Morphine
B
Cannabis
C
Smoking
D
Alcohol
High-Yield Explanation
Ans. is 'a' i.e., Morphine Morphine withdrawalo Manifestations of morphine withdrawal# Lacrimation# Anxiety & fear# Mydriasis# Diarrhea# Palpitation# Sweating# Restlessness# Insomnia# Dehydration# Rapid weight loss# Yawning# Gooseflash (Piloerection)# Abdominal colic# Rise in BP o Delirium and convulsions are not a characteristicfeatures (contrast barbiturates) and are seen only occasionally.o Treatment consists of withdraw! of morphine and substitution with oral methadone followed by gradual withdrawl of methodone.o Recently the NMDA antagonists and nitric oxide synthatase inhibitors have been found to block morphine tolerance and dependance.

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