Society guideline links: Treatment of acute poisoning caused by recreational drug or alcohol use

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately:

●(See "Society guideline links: Regional poison control centers".)

●(See "Society guideline links: Treatment of acute poisoning caused by specific agents other than drugs of abuse".)

●(See "Society guideline links: General measures for acute poisoning treatment".)

●(See "Society guideline links: Opioid use disorder and withdrawal".)

●(See "Society guideline links: Alcohol use disorders and withdrawal".)

International

●Extracorporeal Treatments in Poisoning (EXTRIP) Workgroup: Systematic review and recommendations for extracorporeal treatment for gabapentin and pregabalin poisoning (2022)

●EXTRIP Workgroup: Recommendations on extracorporeal treatment for barbiturate poisoning (2014)

●World Health Organization (WHO): Guideline for community management of opioid overdose (2014)

●WHO: Guidelines for the psychosocially assisted pharmacological treatment of opioid dependence (2009)

United States

●American College of Medical Toxicology (ACMT): Practice statement for the interpretation of urine opiate and opioid tests (2021)

●ACMT: Position statement on limiting harms of vaping and e-cigarette use (2020)

●ACMT: Position statement on addressing pediatric cannabis exposure (2019)

●ACMT: Position statement on buprenorphine administration in the emergency department (2019)

●ACMT: Position statement on interpretation of urine for tetrahydrocannabinol metabolites (2019)

●ACMT: Position statement for determining brain death in adults after drug overdose (2017)

●ACMT and American Academy of Clinical Toxicology (AACT): Position statement on preventing occupational fentanyl and fentanyl analog exposure to emergency responders (2017)

●Substance Abuse and Mental Health Services Administration (SAMHSA): A Treatment Improvement Protocol (TIP) for detoxification and substance abuse treatment (2006, revised 2015)

●Expert consensus guidelines for stocking of antidotes in hospitals that provide emergency care (2009)

●American Heart Association (AHA): Scientific statement for the management of cocaine-associated chest pain and myocardial infarction (2008)

United Kingdom

●Royal College of Emergency Medicine (RCEM): Best practice guideline on suspected cannabinoid hyperemesis syndrome in emergency departments (2022)

●RCEM: Best practice guideline for the management of suspected internal drug trafficker (SIDT) (2020)

●RCEM: Best practice guideline on drug misuse and the emergency department (2019)

●Choosing Wisely UK: The Royal College of Emergency Medicine (RCEM) − Review the routine use of urine toxicology tests in patients who are poisoned (2018)

●National Institute for Health and Care Excellence (NICE): Clinical guideline on alcohol-use disorders – Diagnosis and management of physical complications (2010, updated 2017)

●Choosing Wisely UK: RCEM − Connecting an intoxicated (alcohol) patient up to a drip and providing intravenous fluids will not help them feel better or allow discharge from hospital any quicker (2016)

●RCEM: Position statement on alcohol-related harm (2015)

●UK National Poisons Information Service (NPIS) and the Association for Clinical Biochemistry (ACB): Guidelines for laboratory analyses for poisoned patients in the United Kingdom (2014)

●Royal College of Physicians (RCP): Alcohol dependence and withdrawal in the acute hospital (2012)

●NICE: Clinical guideline on alcohol-use disorders − Diagnosis, assessment and management of harmful drinking and alcohol dependence (2011)

●NICE: Clinical guideline on drug misuse in over 16s − Opioid detoxification (2007)

Australia–New Zealand

●Choosing Wisely Australia: Do not undertake elective withdrawal management in the absence of a post-withdrawal treatment plan agreed with the patient that addresses their substance use and related health issues

●New South Wales (NSW) Ministry of Health: Clinical guidelines for the treatment of opioid dependence (2018)

●NSW Ministry of Health: Drug and alcohol withdrawal clinical practice guidelines (2008)