Clinical Opioid Withdrawal Scale (COWS)

The Clinical Opioid Withdrawal Scale allows for a more objective assessment of withdrawal in patients with opioid dependence either from illicit drugs or from prescribed opioids.

It grades tachycardia, sweating, restlessness, pupil size, bone and joint aches, rhinorrhoea, diarrhoea, tremor, yawning, anxiety and gooseflesh skin, to produce a final score which will guide clinicians as to whether replacement opioids are required.

Follow link to Clinical Opioid Withdrawal Scale (COWS):

https://www.mdcalc.com/cows-score-opiate-withdrawal