On Jan 6, 12:28 pm, "Ted Sheds" wrote:
> It seems that some people are addicted to pain medications, some are
> addicted to weight loss pills, and some are addicted to steroids. When do
> these long-term users cross the line from use into addiction?
>
> When are these folks drug addicts? Is the person who uses an
> anti-itch/anti-stress drug for more than a year a drug addict? Is she a drug
> addict when it gives her 3-4 weeks of withdrawals when she tries to quit??
>
> Some people who are in terrible pain must keep raising their drug levels and
> using more drugs because they build up a resistance. Are these folks drug
> addicts??
>
> Are bodybuilders who use steroids periodically also drug addicts or just
> drug abusers? It seems many folks self-medicate and often see more than one
> doctor in order to get whatever medications they are looking for. Are these
> folks drug addicts??
>
> Where do you draw the line?
Ted,
First, you need to know that the level of addiction in chronic pain
patients is extremely low even though the media makes it seem
otherwise. Long term and short term users cross the line when they no
longer use the medications to help them achieve a comfortable pain
level to allow them to function in a better manner. They begin to
try to get more and more of the drugs to maintain the high or feel
good response that they desire and will go to any lengths to get it.
There is something known as pseudo-addiction. This is when a true
pain patient acts in the manner an addict would but not for the high
but because their pain is not adequately treated to allow them a life
worth living. They usually have doctors who won't prescribe stronger
meds and believe that Vicoden should "be strong enough to cover the
pain" and that this is a very "high" dose for a pain patient. These
patients will seek out other ways of getting meds, go to ER's often
for medications, go to other doctors for more scripts, things like
that. They are called pseudo addicts because their behaviors minic
addicts however their goal is only that of a comfortable amount of
pain control and not the high.
When someone uses a medication long term this does not make them an
addict because of the duration of time they are on the meds. They
become tolerant of these meds and sometimes have to adjust doses. If
the patient finds a good level of control however many of them can
stay at that level of medication for a while. The withdrawls do not
mean the patient is a drug addict. It just means that the body has
gotten used to having the medication and that the patient is dependant
on it which causes withdrawls. Withdrawls come to anyone, addict or
true patient who needs the meds. When a pain patient becomes
dependant on their medications it is very similar to a diabetic
becoming dependant on their insulin to help their body process
stimulus correctly. For the diabetic the stimulus is the sugar and
for a pain patient it is the pain.
As for body builders who use steroids periodically I am not entirely
sure where they lay in this addiction/dependance mess.
Many people self medicate because they know their bodies. One doctor
said that we are the pilots of our bodies and he is just air traffic
control, there to keep it safe and in control. The doctors who
understand chronic pain and other medicatable conditions know that
they have no idea how we feel or what our bodies are doing. It is up
to us to let them know what is going on so that they can give us the
right tools to be able to function. Patients who go to see more then
one doctor either fall in the addict class and are trying to get more
meds so that they can get high and the pseudo-addict class where they
are just trying to get their pain under control but do not have the
right treatments of their pain from their own doctors. Once they find
a doctor who treats the pain right they stop behaving this way.
Addiction and pseudo-addiction and dependance draws the line at why
the patient takes their meds. Addicts take it for recreation, the
high, to feel good but do not need it. Pseudo-addicts and patients
who are dependant use medications to regain mobility, get their pain
under control so that they can function normally or at least close to
normally.
I hope that this cleared up your questions but if not email me and I
will help you out.
Jennie
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