Symptoms of opioid withdrawal include dysphoric mood, yawning, insomnia, muscle aches, lacrimation / rhinorrhoea, papillary dilatation, piloerection, fever, sweating, nausea / vomiting, diarrhoea.
If the patient is having an opioid withdrawal reaction, then give 10 mg of methadone syrup and wait about 60 min to determine its effect.
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