Epistemis

Opioid Withdrawal and COWS Scale

Required inputs

The inputs this calculator asks for inside the app.
VariableExample value
1. Heart Rate (bpm)
2. Sweating (not explained by heat)
3. Psychomotor restlessness
4. Pupillary size
5. Joint or bone pain (diffuse)
6. Rhinorrhea or tearing (not due to allergies)
7. Gastrointestinal Discomfort
8. Tremor (arms extended)
9. Yawning (during evaluation)
10. Anxiety or Irritability
11. Piloerection (Goosebumps)

Run the calculation in the app

This page explains the score but does not run it. In Epistemis, the calculator validates units, flags values outside physiological ranges, and provides the interpretation that a number alone cannot convey.

Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.

Specialty
Psychiatry
Area
Specialties
Variables
11
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