Addiction Medicine · Emergency Medicine · Internal Medicine
Clinical Opiate Withdrawal Scale (COWS) calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Result
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Clinical inputs
- Resting pulse rate
- Sweating
- Restlessness
- Pupil size
- Bone or joint aches
- Runny nose or tearing
- GI upset
- Tremor
- Yawning
- Anxiety or irritability
- Gooseflesh skin
Primary source
Wesson DR, Ling W. The Clinical Opiate Withdrawal Scale (COWS). J Psychoactive Drugs. DOI: 10.1080/02791072.2003.10400007. PMID: 12924748. Scope: eleven clinician-rated opioid withdrawal signs with published item weights; total severity bands commonly 5–12 mild, 13–24 moderate, ≥25 moderately severe/severe. (2003)
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