Opioid Use Disorder (OUD) is a substance use disorder characterized by a problematic pattern of opioid use leading to clinically significant impairment or distress.
A problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at least 2
of the following, occurring within a 12
-month period:
Criteria A and B
of the criteria set for opioid withdrawal)Specify if:
3
months but for less than 12
months (with the exception that Criterion A4
, “Craving, or a strong desire or urge to use opioids,” may be met).12
months or longer (with the exception that Criterion A4
, “Craving, or a strong desire or urge to use opioids,” may be met).Specify if:
Specify if:
2
to 3
symptoms4
to 5
symptoms6
+ symptomsOpioids are a class of substances that bind to the opioid receptors, including Mu1 (μ1), Mu2 (μ2), Delta (δ), Kappa (κ). It is commonly used as an analgesic to treat pain, but is frequently a substance of abuse. Common opioids include morphine, codeine, hydromorphone, methadone, and drugs of abuse like heroin. They can be classified on the basis of their chemical structure as:
Guideline | Location | Year | Website | |
---|---|---|---|---|
Canadian Medical Association Journal (CMAJ) | Canada | 2018 | - | Link |
BC Centre on Substance Use (BCCSU) | Canada | 2023 | Link | Link |
META:PHI | Canada | 2019 | Link | Link |
Canadian Guidelines on Opioid Use Disorder Among Older Adults | Canada | 2020 | Link | |
National Institute for Health and Care Excellence (NICE) | UK | 2007 | - | Link |
American Psychiatric Association | USA | 2006, 2007 | - | • Guideline (2006) • Guideline Watch (2007) • Quick Reference |