What To Do When You’re Prescribed Opioids
The Opioid Epidemic in America is a terrible and growing problem that has already impacted the lives of millions. The opioid overdose rate has skyrocketed, as has addiction. When communities fall into the grip of opioids, everyone stands to lose. Families are wrecked and businesses falter due to addicted employees and the crimes that follow drug abuse. Since the problem begins in a doctor’s office, it’s easy for many to overlook the danger hidden in a prescription intended to relieve pain. After all, we are taught to trust every doctor’s judgment as well as all the products we purchase from a pharmacy. However, it’s important to know what to do when you are prescribed these addictive and potentially deadly drugs. After all, everyone wants to avoid addiction and overdose.
Why do doctors prescribe opioids?
Opioid medications are intended to help patients relieve pain. Doctors prescribe them for a variety of reasons, including relief from acute pain resulting from injury or post-surgery. They also prescribe them to patients who suffer from chronic pain that can result from a wide range of sources. However, that is only part of the story. The opioid epidemic sprung from circumstances that go beyond simple treatments. A ProPublica investigation found that doctors have been effectively bribed into prescribing, and over-prescribing, opioid pain medications. Some pharmaceutical companies have been marketing opioids to doctors and including incentives for doctors who sold or prescribed the most products. When doctors sell a certain quota of opioid medications, they are invited to special luxury retreats in tropical locals. The doctors might present a paper, but other qualifications required are minimal. Over time, executives from various pharmaceutical companies have pled guilty or have been found guilty by juries of various crimes connected to this. The charges have stemmed from aggressive marketing programs that prompted doctors to over-prescribe medications. That is, doctors were enticed to write prescriptions for patients who might have done as well with a high-milligram dose of Ibuprofen or some other, non-addictive, pain medication.
What are some common names for opioids?
Prescription opioids come in a wide range of sizes and under many different names. Different brands are typically indicative of varying strengths. Some of the more common opioid prescriptions come under the following names:
Codeine
If you’ve ever had a severe cold or flu, your doctor may have prescribed a cough syrup with codeine. While this is considered a milder opioid, it is still addictive and poses an overdose risk.
Hydrocodone
This is commonly found under the brand names Lortab or Vicodin. When found in Lortab pills, it is paired with acetaminophen (Tylenol.) Since acetaminophen damages the liver, addicts often cap off their use at around 40 pills per day, as the pain from their liver prohibits a higher dose.
Hydromorphone
Commonly known as Dilaudid, this opioid often comes as in suppository form. Dilaudid is prescribed for mild to moderate pain.
Meperidine
You might find Meperidine branded as Demerol. It is commonly prescribed for severe acute pain, such as in the case of kidney stones.
Methadone
This opioid is addictive but is considered a mild opioid that can facilitate functioning among addicts while maintaining a minimal level of opioids in their routine. Though often used in a rehabilitative context, methadone can induce overdose and should never be used in conjunction with any other drugs. Benzodiazepines, alcohol, and other opioids should be avoided at all cost, lest a fatal drug interaction/overdose ensue.
Morphine
Morphine is prescribed for patients with moderate to severe pain. You might have seen or heard of surgery patients receiving a morphine drip in the form of an IV. The medication has an extended-release form which should be used with extreme caution as overdose can result when this form is misused.
Oxycodone
This opioid is often marketed under the names Percocet or Oxycontin and is prescribed for acute pain conditions. It is rather powerful and is recommended for moderate to severe pain. You might receive this medication for broken bones or during a post-surgery convalescence.
Oxymorphone
This opioid is sold as Opana, Opana ER, and Numorphan Hcl.
Fentanyl
This opioid is one of the most powerful and should only be prescribed for very extreme cases. It is approximately 50 to 100 times as powerful as Morphine. This painkiller is frequently marketed as a time-released transdermal patch. However, it is also found in pill or powder form, and heroin producers have been known to boost their product with this exceptionally powerful opioid. When Fentanyl is introduced to a batch of heroin, the overdose rate spikes for affected areas.
How big is the opioid problem?
This is a very difficult question, as statistics are difficult to track down. One of the only ways to track the opioid crisis is by the trail of overdoses, particularly those that result in death. Prior to an addict’s untimely demise, they might cause innumerable problems for themselves, their families, and their wider community. If they are lucky enough to enter a rehabilitation facility, addicts are protected under privacy laws so that it is still difficult to gain reliable numbers to help measure and track the problem. It’s even difficult to measure how many prescriptions are passing from doctors to users because the only data available is from Medicare Part D, which is only available to senior citizens and disabled people. Even when using these numbers, different agencies can have wildly different numbers for the same regions. According to a ProPublica report, one agency found the prescription rate of Piatt County, IL to be twice the state average. However, when the CDC examined Piatt County, they found that prescription rates were below the state average. When the CDC, for example, measures overdose rates the numbers can never be fully relied upon. That is, in order for a death to be counted as an overdose, the coroner or medical examiner must determine that opioids were the determining factor in the person’s death. Already we know that Rhode Island has under-reported opioid overdoses and it is far from certain that other states either have or have not reported accurate numbers. Furthermore, by the time an addict overdoses, they may have already passed on from prescription opioids to illicit drugs, such as heroin. Since heroin is often more powerful and far less reliable in terms of strength, the likelihood for overdose increases. If a person overdoses on heroin, they are less likely to be considered part of the problem surrounding prescription painkillers.
Aren’t illicit drugs like heroin the real problem?
Heroin has long been the scourge of the inner city. It is highly addictive and has many attendant problems that impact medical and social systems. Though Bayer originally designed it, it is now manufactured and sold primarily on the black market. While Heroin is a terrible problem, the new opioid epidemic has its roots in legal, pharmaceutical painkillers such as Oxycontin, etc. When a patient becomes addicted to their prescription medications, they are likely to seek relief on the black market once their doctor ends refills. While some addicts are successful in finding unethical doctors, who will refill their prescription opioid medications, most seek heroin or opioids on the black market if they cannot face the terrors associated with opioid withdrawal. Though both prescription and illicit opioids pose terrible overdose risks, heroin is perhaps even more troublesome. Since the FDA does not regulate the black market, an addict is likely to find drugs that are far more powerful or are mixed with other drugs, such as amphetamines, which add a risk of cross-addiction. In extreme cases, criminal dealers mix heroin with the pharmaceutical Fentanyl. The addicts whose tolerance is too low are subject to overdose and death while the addicts who survive the mega-dose are thrust even deeper into their addiction. Since heroin relies on the black market, its entire supply chain is rife with problems including money-laundering, violence, and even ties to darker crimes such as human trafficking. Thus, it is seen as more problematic. However, the heroin market has seen great expansion since the influx of addicts from the legal side of the opioid coin.
How does opioid addiction work?
Opioids not only help to ease or block pain, but they deliver a great deal of pleasure. This pleasure results from a rush of dopamine in the nervous system. Dopamine is a large part of our lives. It is often thought of for the extreme pleasure it can deliver, but it also helps you enjoy small things, as well. However, when you start using opioids, you begin to tamper with the normal equilibrium in your brain chemistry. Dopamine levels spike when you take your medication and effectively deplete your dopamine receptors over time. When you run low on dopamine, your body begins experiencing the phenomenon of craving. You suddenly cannot find any pleasure or contentment. You become irritable and inconsolable until you take your opioid prescription. Before long, the only possible form of relief is in the form of another pill. Unfortunately, this phenomenon begins to set in almost immediately. Depending on the strength of your first dose, you might experience some form of craving or withdrawal when your first dose wears off.
How do I know if I’m on the brink of addiction?
Addiction is a disease that tricks a person into thinking they don’t have it until it’s far too late. Thus, if you truly need to use opioid painkillers, keep a close eye on how much you are using. Since these drugs can be very disorienting, you might consider a pill organizer, so you are sure to keep track of what medicine you’ve used and which you need to take later. This is vital for older patients who might become confused and accidentally overdose. As for a growing addiction, be vigilant regarding your use. If you start needing an increased dose to manage your pain, you have a growing tolerance. Rather than feeding the need for more opioids, discuss the matter with your doctor. Increased tolerance is one of the chief warning signs of addiction. Note that if you start feeling a craving before your scheduled dose, you are stepping into addiction. A craving will take the form of obsessive thoughts regarding your drugs, rationalizations for increasing use, and even thoughts of how to obtain more drugs through some illicit means, such as doctor shopping. Be mindful of aberrant thoughts. If you find yourself thinking or behaving in ways that are not normal for you, it’s time to discuss the issue with your doctor.
Tell-Tale Signs of Opioid Addiction
Opioid addiction often sneaks up on its victims. You might start taking your painkillers as prescribed but before long, you find that you need stronger doses and then you can’t keep on the dosage schedule. When the cravings start, you don’t even notice them; you just have a feeling that you need a pill several hours early, then an additional one to go to sleep at night. Before long, you are desperate to avoid any withdrawal symptoms. There are many more signs of opioid addiction. Keep the following warning signs in mind for yourself or if a loved one has an opioid prescription.
Simple, uncharacteristic mistakes
Odd, inappropriate sleepiness and sometimes falls asleep, nods off
Avoids social situations that used to give pleasure
Unusual trips to the bathroom
Leaves work or social gatherings early
Suddenly experiences financial troubles
Relationships begin to suffer
Becomes defensive in light of the slightest criticism
Loses job and cannot seem to find another
Runs afoul of the law for petty crimes or bizarre behavior
Excessive doctor or pharmacy visits
Needle marks on the arm
Bleary appearance while also scratching the face
Perpetually broke and needing to borrow money while never repaying.
The above list is a brief overview of many symptoms that result from opioid addiction.
Opioids aren't risk-free to also consider for some people. Your case history, family background along with private history of material make use of all aid to figure out whether opioids are safe for you to try. Scientific problems that boost your threat of hazardous side arises from opioid medicines include: Relax apnea Weight troubles Stress and anxiety and anxiety or anxiety Fibromyalgia Mental health and also material misuse troubles that elevate your danger of opioid abuse as well as likewise addiction include: Background of extreme depression or anxiety and also anxiousness Hefty tobacco use Previous drug or alcohol recovery Family members background crucial abuse Person history of substance abuse Your medical professional will absolutely ask about each of these threat facets before prescribing any type of brand-new opioid medicine.
The safest time to prevent opioid-related concerns is prior to you starting these medicines. The Centers for Illness Control and likewise Evasion (CDC) materials sustain to doctors for risk-free prescribing of opioid medicines. Complying with the CDC's referrals, you ought to expect your medical professional to: The majority of the time, extreme pain such as discomfort that adheres to surgical procedure or a bone fracture is not serious sufficient to ask for opioids for more than 3 days.
Your medical professional needs to help you take a look at a number of various other treatments consisting of nonpharmacological therapies as well as likewise nonopioid drugs before considering an examination of opioids. Your medical professional should certainly aid you recognize simply how much pain alleviation you require in order to acquire enhancements in your capacity to work and additionally quality of life. There's no therapy for relentless discomfort, despite having medications as effective as opioids, as well as also there are risks connected with all pain drugs.
Generally, these agreements simply state your commitments while making use of opioid medications. You'll accept taking advantage of opioids just as recommended and also to get medicines from just one medical professional and likewise one drug store. You'll acknowledge that you will certainly not receive additional drugs until your existing prescription runs out, even if your medicine is lost or swiped.
You'll acknowledge to maintain all aspects of your therapy technique such as physical therapy or behavioral drugs and likewise to keep all set up follow-up appointments. Infraction of any one of these terms could motivate discontinuation of opioid therapy. Expect your doctor to require a follow-up to go one to 4 weeks after you begin opioid therapy, to assess the benefits and dangers of these drugs for you up previously.
These check outs could include pee evaluations. If you've taken opioids for consistent pain and also develop it's time to stop, your physician should aid you slowly as well as securely minimize these medicines to avoid possibly severe adverse results. You play an essential role in guaranteeing your security while taking opioids. Your medical professional and pharmacologist can not assist you stay secure if they don't have full and also existing information relating to all your medicines.
If you are prescribed opiate-based painkillers, there are a few things that you can do to get them under control. While these painkillers are very effective at providing relief from the pain and discomfort associated with various illnesses, they also can be addictive. It is important to make sure that you learn how to deal with your prescribed pain medications so that you will not become addicted.
The best thing that you can do is to discuss the need for medication with your doctor. He or she may prescribe opiates in order to provide relief, and you may be given instructions on how to use the medication properly. You should make sure that you follow the proper guidelines, as these instructions could lead to a more effective and safe use of the drugs.
One way that you can handle opiosequan safely is by learning how to avoid it. Many doctors recommend that you keep away from opiates if you suffer from acute pain, as they tend to produce the most serious side effects. It is important that you remain within your body's tolerance levels, and this means that you should take them as advised. When you have a prescription for opiate-based painkillers, you should make sure that you do not exceed the dosage.
The best way to do this is to learn to deal with your pain, but don't delay. You should find a way to manage your condition without relying on opiates. You may need to find a substitute for opiates, such as an anti-anxiety pill.
There are a number of other things that you can do besides taking your painkillers. It is important that you keep a record of all the details of your treatment, including that opiates were taken and when, and any other medications you may be taking. This information will help you make sure that you have a plan in place when you take your next opiate-based painkillers.
Your doctor may want you to stay on a low-dose opiate-based painkiller for several weeks or even months until you can handle some of your own life without opiates. This is a great way to give yourself time to overcome the pain of opiates and learn how to better manage them. Once you feel more comfortable with the new medication, you can begin using the stronger doses of the drug without having any serious side effects.
In addition to taking your opiosequan medications safely, it is also important to be aware of any side effects that you may experience. Some side effects that you may encounter with opiates include drowsiness and a loss of appetite, and you should avoid these drugs while you are taking them. The opiates can cause withdrawal symptoms, and if you don't know about these symptoms, you could be putting yourself at risk for serious health problems.
Make sure that you are aware of any changes that occur in your body that you think could be caused by opiates. There are plenty of side effects to be aware of when you are using opiates and making sure that you are knowledgeable about them will help you to find a way to deal with these symptoms and minimize them. It is also important to make sure that you consult a medical professional if you think that you are experiencing one or more of these symptoms.
If you think that you may be suffering from opiate addiction, you should consider talking to a doctor about your treatment options. If you are thinking about using prescription medications to treat your pain, you should be prepared to discuss any side effects that you may experience with your doctor. If you decide that you want to try an alternative form of treatment, be sure to discuss it fully with your doctor and the prescribing pharmacy so that you can get the best treatment possible.
Opiates can be addictive, and when you are taking too many or too long of them, your body will begin to crave the feeling of the drug. Eventually, you may become dependent and find that you can't function normally without using the drug.
In the end, there is no reason to worry about opiate addiction if you are taking your medications safely and properly. The important thing is to try to manage your pain and treat yourself as effectively as possible in order to find a way to get through life with your illness. With proper care and supervision, you can live an active and productive life.
How do I avoid opioid addiction?
Diligence is key when it comes to avoiding opioid addiction. One of the first things you can do is to familiarize yourself with the various warning signs of addiction. If you are determined that yourself or your loved one is going to avoid this horrible disease, you will find that knowledge and education are absolutely vital to survival. Another part of diligence is making sure that you are prepared for a pain management routine. First off, you should educate yourself concerning the possible treatment routines. Learn everything you can about opioids and other pain management medications. You might be presented with a single solution where there may be options. If you are seeing a doctor for extreme pain, make sure that they thoroughly rule out all other forms of painkiller. Even if they insist that opioids are the best or only option, request an alternative such as a high dose of ibuprofen. See if you can manage your pain with something non-addictive first. You may have to live with a bit of discomfort for a while, but if your pain is expected to be short-term, such as a period of recovery from a surgery or injury, a little discomfort far outweighs a potentially deadly addiction. Not only can this help you avoid addiction, but the prescription will likely be cheaper, too. Plus, you won’t have any interference with daily activities such as driving or working, but please confirm this with a professional before operating heavy machinery. If opioids are indeed the only option, talk to your friends or family members about the situation. Keep a trusted loved one informed of your use, including how many pills are in your prescription and how often you are recommended to take them. A pill organizer will also be helpful, as opioids tend to disorient patients, and you might lose track of how many pills you’ve taken. This might feel like infantilization, but the addiction rates for opioid medications are far too high to gamble with. When you arise healthy and happy from a round of pain medications, you will be glad for whatever discomfort you’ve endured.
How Do I Get Help for an Opioid Addiction?
If you suspect that you have become addicted to opioids, please seek help immediately. The Substance Abuse and Mental Health Services Administration has a national hotline to help: 1-800-662-HELP (4357). As soon as you recognize that you cannot stop using opioids on your own, call the SAMHSA hotline or contact a trusted addictions specialist. You might try a local counselor or even your local hospital. If you are able, have someone drive you to a local detoxification center. While opioid withdrawal can be successfully carried out at home, there are dangers. The process is also extremely unpleasant and might even result in you returning to your drugs of choice. The risks are too high to go it alone. When you check into a detoxification center, you’ll find trained professionals who will deliver the best care. Furthermore, they will be able to help you find the best rehabilitation center. There are many different sorts of rehabilitation centers. The two general categories are in-patient and out-patient rehabilitation. There are also halfway houses and three-quarter sober houses. Depending on your local area, there may be many options. When you are weighing the options and making your decision keep in mind that the goal is not to find a comfy, cozy rehabilitation center. Rehab is not a vacation nor are centers anything like resort spas, though they might seem that way. Keep in mind that part of the root of addiction is escaping certain hard realities. Therefore, your recovery will likely include a re-familiarization with certain difficulties. In fact, your relative sobriety might be gauged by how well you manage your difficulties without resorting to popping a pill, snorting a powder, or injecting a potent brew. If at all possible, try to enter a rehabilitation center away from home. When you can totally immerse yourself in a rehabilitation culture, it has a greater chance of making a lasting impact. Being away from your usual surroundings will enable you to focus on the most important things: yourself and your sobriety. Your rehabilitation center will probably insist that you leave behind certain personal items such as your cell phone, pictures of loved ones, or other reminders of your outside life. Most patients are justifiably irritated at what is perceived as extreme measures, but it’s important to keep everything in its proper context. All of those creature comforts were a part of a life of addiction, one which only leads to jail, an institution, or death. Given that the rehab is an institution, there’s no need to see if you can make the trifecta. You should also seek out programs that last a minimum of 60 days. The 30-day model was based on a military standard and not anything to do with long-term sobriety. Studies have shown that the 30-day format is ineffective for any sort of long-term success. While you might feel that 60 days, or longer, is too long to be away from your life, consider that every day past 60 vastly improves your chances for a long life of happiness and sobriety. Though your family may dislike being apart for so long, they will surely appreciate your smiling face for a lifetime.