Posts Tagged ‘pain medicine’
Unmanageability and Addiction
We begin by taking two pills instead of one to produce the effect that we desire. The prescriptions run out before they were supposed to. We wonder whether the pharmacy will realize that we are taking too much of the medication when we request a refill. Two soon becomes three, and four, and five… Panic sets in because one physician will not provide all the medications we now require. We begin seeing other physicians and even make up different pain stories. We take the prescriptions to different pharmacies in order not to be discovered. We hope the pharmacies’ computers will not expose us.
Eventually, we are taking enormous amounts of one or more medications. The “high” just isn’t the same anymore so we might use some other substance to give the medication a “kick.” Some of us turn to alcohol to combine with the medication. Others turn to illegal drugs such as heroin and cocaine. Others begin to steal prescription pads from physicians and forge prescriptions. Whatever the methods, the unmanageability reaches critical stages.
Remember all of those negative feelings we thought the drugs were relieving? Well, now that we are in our addiction, they have returned with a vengeance. Our world now revolves around our medications just the way it did with our chronic pain. We become very lonely. Our medication comes first and we once again alienate ourselves from our loved ones. Shame and guilt set in and our self-esteem lowers even more. Anger, resentments, fear, frustration, depression and anxiety once again dominate our minds. We now need the medications just to feel normal and if we try to stop the medications, we become ill. We have come full circle, and are now prisoners to both our medications and chronic pain.
If you are reading this pamphlet, chances are good you have met the diagnostic criteria for chemical dependency. You only need to relate to three of the following:
- Tolerance as evidenced by a need for more medication to achieve the same effect, or decreased effect when taking the same amount.
- Several failed attempts at stopping the medication.
- Much time is spent obtaining the medication.
- Other, healthy parts of life are sacrificed because of the medication.
- Taking the medication for longer than intended.
- Withdrawal symptoms.
- Continued use despite negative consequences.
For help with drug addiction treatment contact Sunrise Detox.
Buprenorphine & Opiate Addiction
Buprenorphine was initially introduced on the market in the 1980s as an analgesic. Now, its primary use is for the treatment of opioid addiction.
One dose of buprenorphine remains active in the human body for as long as 48 hours, which provides a longer duration than morphine. This is one of the qualities that make this drug ideal for helping opioid addicts to break free of their addiction. Since the drug remains in the body for 48 hours, it also ensures that the withdrawal symptoms that people experience are significantly decreased.
Buprenorphine requires sublingual (under the tongue) administration on a frequent basis. Drug administration should always be supervised by a substance abuse treatment professional, and doses must be strictly monitored. Federal regulations require this in order for treatment centers and medical facilities to be able to administer the drug at all.
There are some side effects that can occur along with the use of buprenorphine. They range from moderate to severe, and it should be pointed out that this drug can, in some cases, produce fatal side effects. The most commonly occurring side effects include the following:
• Headache
• Drowsiness
• Dizziness
• Vomiting
• Decreased libido
• Constipation
• Respiratory depression
Respiratory depression is the side effect that presents the most serious problems with the use of buprenorphine, as it can be fatal in some people. Unfortunately, there is no way to correct or treat this problem should it develop.
While undergoing buprenorphine treatment, all patients are regularly monitored to see how their livers are functioning, as some adverse effects can be caused by using this drug.
Even though buprenorphine is used to treat people with opioid addictions, the possibility does exist for an addiction to the buprenorphine itself to develop. The types of dependencies that can develop include both physical and psychological. People who are considering undergoing treatment with this drug should be aware, however, that instances of people becoming addicted to buprenorphine are quite rare.
Often times, one of the primary questions that people have is whether they should choose buprenorphine or methadone as a treatment option. Both of these drugs are routinely used for short-term and long-term treatment of opioid addiction. Dosing requirements may be a bit better with buprenorphine simply because of the drug’s ability to remain in the body for 48 hours, thereby offering longer-term effects. With buprenorphine, patients typically only have to receive a dose every other day, while methadone requires daily dosing.
Buprenorphine also has an advantage regarding the total amount of treatment time that is required to successfully complete a detoxification program. With buprenorphine, treatments generally last for a few months, while with methadone indefinite or sometimes lifelong treatment is necessary.
It is very important that buprenorphine be administered in an inpatient treatment facility, particularly one that specializes in substance abuse treatment. Inpatient treatment programs not only offer patients detox programs, they also offer treatment or rehabilitation programs that are designed to help people learn healthier ways of living. Some of these treatment programs include counseling, diet and exercise, massage, acupuncture, and group therapy.
The purpose in these additional treatments is to give patients a better chance of maintaining success by giving them the tools they need to lead lives that are free of substance abuse. If patients learn how to be healthy and happy (physically and emotionally) then they will be far less likely to have a relapse.
Cancer Diagnosis can Threaten Sobriety
Recovery from alcoholism and other drug addiction often calls for breaking through layers of denial and shame. But people who face the task of recovery along with a diagnosis of cancer deal with an immediate threat to their sobriety.
“When people hear the word ‘cancer,’ there’s kind of an assumption that it’s a death sentence,” says Dr. Marvin Seppala, chief medical officer for the Hazelden Foundation. “That’s not the case, since so many cancers are treatable nowadays. Yet there’s still a chance that people in the midst of addiction treatment might say to themselves: ‘Why bother to get clean and sober? I’m not going to go through with it because I’ve got cancer.’ ”
Studies suggest that rates of substance abuse in people with cancer are lower than in the general population. However, these figures are difficult to interpret. They could simply mean that people in cancer treatment routinely hide their problems with alcohol and other drugs.
Secrecy is just one problem. “If you’re in the midst of an active addiction, you’ll also be undermining any kind of healing process related to cancer,” Seppala says. “And there’s always the question of whether some of the addictive drugs will interfere with medications used to treat cancer.”
In addition, a record of substance abuse can strain the human relationships that underlie cancer treatment. If doctors and nurses suspect that their cancer patients are lying about drug use, they may doubt anything that these patients say about their health.
People with cancer might sense this mistrust, doubt the goodwill of their health care team, and decide not to follow through with their cancer treatments. When this happens, prescriptions go unfilled, medical appointments are missed, and people with cancer can get sicker or die earlier.
A report on substance abuse issues from the National Cancer Institute underscores these problems. It also suggests ways to help people face cancer and abstain from alcohol and illicit drugs at the same time:
Gather facts without judgment. When taking a health history, doctors and nurses sometimes avoid questions about alcohol and other drug use. They may feel awkward about raising the issue, or simply assume that they’ll never get honest answers. This assumption undermines cancer treatment. When health professionals ask about drug use with a non-judgmental attitude, people with cancer are more likely to speak candidly.
Involve a multidisciplinary health care team. Treatment for people with cancer and addiction should involve specialists in mental health and addiction medicine. Many people with a history of substance abuse–including those with cancer–also struggle with anxiety, depression, or personality disorders.
Treat pain with an accurate understanding of addiction. People can become physically dependent on opioid drugs such as codeine and oxycodone (OxyContin) that are used to treat cancer pain. This means that withdrawal symptoms will occur if the drugs are suddenly stopped. In this context, however, physical dependence and addiction are not the same. Addiction refers to the compulsive use of drugs for reasons other than pain control. Careful treatment planning can relieve withdrawal without triggering such use.
Current treatments also offer many options for treating cancer pain without drugs. Examples are acupuncture, acupressure, biofeedback, chiropractic treatment, osteopathic medicine, massage therapy, and meditation.
Set realistic treatment goals. There’s a saying among members of Alcoholics Anonymous: “Getting clean and sober is simple–just change everything about your life and do it now.” This slogan reminds us that recovery from addiction requires a transformation in thinking and behavior, which calls for decades of sustained effort. The risk of relapse is high, especially with the added stress of a cancer diagnosis.
Cancer specialists need to be realistic about this fact. Treatment planning for people in recovery should set up a structure for preventing relapse–and dealing with it openly if it does occur.
For more on this topic, visit the National Cancer Institute Web site at http://www.cancer.gov/ and click on “Cancer Topics” and “Coping with Cancer.”
Source: Hazelden
Symptoms of Prescription Drug Abuse
Most drug addictions start with casual or social use of a drug. For some people, this is as far as it goes. For other people, using the drug becomes a habit and use becomes more and more frequent. As time passes, you may need larger doses of the drug to get high. Soon you may need the drug just to feel good. As your drug use increases, you may find that it becomes increasingly difficult to go without the drug. Stopping may cause intense cravings and make you feel physically ill (withdrawal symptoms).
Drug addiction symptoms or behaviors include:
- Feeling that you have to use the drug regularly — this can be daily or even several times a day
- Failing in your attempts to stop using the drug
- Making certain that you maintain a supply of the drug
- Spending money on the drug even though you can’t afford it
- Doing things to obtain the drug that you normally wouldn’t do, such as stealing
- Feeling that you need the drug to deal with your problems
- Driving or doing other risky activities when you’re under the influence of the drug
- Focusing more and more time and energy on getting and using the drug
Narcotic painkillers
Opioids are narcotic, painkilling drugs produced naturally from opium or made synthetically. This class of drugs includes heroin, morphine, codeine, methadone and oxycodone (OxyContin).
Signs of narcotic use and dependence can include:
- Reduced sense of pain
- Sedation
- Depression
- Confusion
- Constipation
- Slowed breathing
- Needle marks (if injecting drugs)
Recognizing drug abuse in teenagers
Possible indications that your teenager is using drugs include:
- Problems at school. Frequently missing classes or missing school, a sudden disinterest in school or school activities, and a drop in grades may be indicators of drug use.
- Physical health issues. Lack of energy and motivation may indicate your child is using certain drugs.
- Neglected appearance. Adolescents are generally concerned about how they look. A lack of interest in clothing, grooming or looks may be a warning sign of drug use.
- Changes in behavior. Teenagers enjoy privacy, but exaggerated efforts to bar family members from entering their rooms or knowing where they go with their friends might indicate drug use. Also, drastic changes in behavior and in relationships with family and friends may be linked to drug use.
- Spending money. Sudden requests for money without a reasonable explanation for its use may be a sign of drug use. You may also discover money stolen from previously safe places at home. Items may disappear from your home because they’re being sold to support a drug habit.
Source: The Mayo Clinic
Watch Video Channel 5 Pain Clinic Crisis in Florida
Channel 5 news reports about Florida’s problem with Pain Clinics, otherwise known as pill mills and pain management clinics. These pain clinics are targeting addicts of all kinds of substance abuse- Heroin, barbiturates such as Roxys and Oxicontin junkies. In this video you will see an addict who went to these pain clinics to get help with his pain pill addiction only to get further addicted to the pain medication. Sunrise Detox center located in Lake Worth Florida, and also has a location in New Jersey, is a detox center who agrees that there is a pain clinic crisis and these places are not helping the addict they are preventing them from getting sober and setting them up for a harder detox treatment.
Pain Medicine Addiction and Detox from http://sunrisedetox.com
