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COWS (Opioid Withdrawal)

COWS: Clinical Opiate Withdrawal Scale. 11-item clinician-administered assessment. COWS ≥ 8–12 typically required before initiating buprenorphine to avoid precipitated withdrawal.

Resting Pulse Rate (bpm)

Measure after patient has been sitting or lying for 1 minute.

Sweating

Observe. Not accounted for by room temperature or patient activity over the past 0.5 hour.

Restlessness

Observation during assessment.

Pupil Size

Observe.

Bone or Joint Aches

If the patient was having pain previously, only the additional component attributed to opioid withdrawal is scored.

Runny Nose or Tearing

Not accounted for by cold symptoms or allergies.

GI Upset

Over the last 0.5 hour.

Tremor

Observe. Hands outstretched.

Yawning

Observe.

Anxiety or Irritability

Observe.

Goosebumps / Piloerection

Observe skin on arms.

Related Psychiatry Tools

Clinical Global Impression — Schizophrenia
Brief Positive and Negative Syndrome Scale
C-SSRS
SAD Persons
SBQ-R
SAFE-T Protocol
Manchester Self Harm
Reasons for Living Inventory
PATHOS Self-Harm Screen
AUDIT
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