I use clonidine for some some of the wd sx. If the pt is taking very high doses, I may use a little methadone.
low dose lorazepam for some of the anxiety
ibuprofen for the associated aches and pains
zofran for the nausea
frequent vital sign checks
attention to nutrition and encourage oral fluids, of whatever variety the patient likes best and that we have available in the hospital.
If the pt is overdosed on opiates, I use narcan.
If the pt is chronic pain, I do my best to find a way to control the pain.