Opioids > 50 mg Morphine Equivalent Daily Dose (MEDD)

Physical Appearance . Physical signs of substance use . Needle tracks on arms or legs . Itching, scratching excessively . Burns on fingers or lips . Pupils abnormally dilated or constricted, eyes watery, eyelids droopy (may wear dark glasses inside) Slurring of speech, slow speech . Lack of coordination, instability of gait. Tremors ................
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