Opiate Addiction
74Opiate (opioids) addiction is a larger problem today than most people realize. Many addicts suffer from an addiction to opiates.
Opium has been used in its raw form, both medicinally and for pleasure, for centuries. In fact, the Greeks and Egyptions began using opium around 1500 B.C! Morphine and codeine were isolated and extracted from opium in the 1800's. The hypodermic syringe was invented in 1853 and heroin (diacetylmorphine) was first synthesized in 1874. Methadone came on the scene in1937 and Suboxone (buprenorphine) was introduced in 2002.
Opiates typicaly work by acting as agonists and binding to the receptor sites in the brain and spinal cord. The receptor sides are called delta, kappa, mu and Nociceptin receptors. Each of these receptor types control different functions of the brain. Mu receptors are associated with pain, delta receptors with pain relief and antidepressant effects, kappa with sedation and pupil constriction and Nociceptin with anxiety and depression.
The brain actually makes its own chemicals that bind to these receptors. These chemicals are called endorphins and enkephalins. Opiates bind to the same receptor sites and change the way the brain and spinal cord process pain signals.
In the medical world, opiates are sometimes used to treat diarrhea, moderate to severe pain, severe cough, and sometimes depression. People also use opiates for the sedative effects and because opiates can promote feelings of euphoria and well being.
Opiate Addiction Misconceptions
One of the most common misconceptions about opiates, is that everyone who injects heroin, or morphine, experiences a type of intense pleasure unequaled by any other experience. However, clinical studes show that many people only experience nausea and discomfort after the initial administation of opiates.
Another misconception surrounds opiate withdrawal. When a person is withdrawing from opiates they are not always in excruciating pain or truly suffering, as if often portrayed in the media. This is especially true for the individuals who use a low daily dose of opiates. For this type of low dose user, withdrawal symptoms more closely resemble a mild case of the flu.
One more misconception about opiates is that once an individual uses any opiate they are hooked for life. Actually, becoming dependent does not happen after one dose and regular use of an opiate is more important in establishing physical dependency.
Currently, there are over half a million opiod-dependent people in the United States, with many more around the world. In the U.S., there might be as many as two to three times that amount of occasional users.
Some of the More Recognized Names for Opiates Include:
Natural Products: opium, codeine, morphine
Semisynthetics: heroin, diamorph
Synthetics: methadone (Dolophine), meperidine (Demerol), oxycodone
(Percodan, Oxycontin), oxymorphone (Numorphan), hydrocodone (Vicodin,
Lortab), hydromorphone (Dilaudid), dihydrocodeine, propoxyphene
(Darvon), pentazocine (Talwin) and fentanyl (Sublimaze).
Street names: smack, tar, China white, Mexican brown, "H", chiva, horse, white horse, junk, monkey, "M", white stuff, Miss Emma, school boy, horse, "D", OCs, M & Ms, K2s, K4s and others that are being introduced on a constant basis.
Unfortunately, opiates can be both physically and psychologically addicting and are sometimes very hard to quit. In fact, fear of withdrawal is one of the main reasons people keep taking opiates. Withdrawal symptoms can include chills, vomiting, fever, insomnia, depression, yawning, restless arms and legs, and diarrhea. Withdrawals can last from days to weeks, depending on which opiates, average dose, and length of time the individual has been using.
Overdose from opiates can occur and is referred to as the "opioid
overdose triad". The triad consists of coma, depressed respiration and
pinpoint pupils. Death occurs because the individual's breathing stops.
Fortunately, there is help for those who are suffering from addiction to opiates. Treatment usually consists of using a type of "substitution therapy" using Methadone or Suboxone.
Order Dr. Junig's CD - "Opiate Dependence Treatment Options - From Sober Recovery to Suboxone" here.
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Opiate Dependence Treatment Options: From Sober Recovery to Suboxone (Suboxone Talk Zone)
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Jeffrey T Junig MD PhD explains eveything you ever wanted or needed to know about opiate addiction.
Dr. Junig delves into the various treatment approaches and also answers the frequently asked questions.
You can order the CD and Amazon will offer you a variety of shipping alternatives so you can get the CD right away.
If you, or someone you know, is addicted to opiates and is asking about treatment, you can read more about treatment centers here. Treatment centers for opiate addicted individuals are very similar to treatment centers addressing alcoholism. In fact, most treatment centers these days focus on many types of addiction. If you would like to learn about interventions, you might want to read the article Alcohol and Drug Intervention Information.
Helpful Substance Abuse Links
- Alternatives to AA
This article discusses other self-help organizations dedicated to helping those with substance abuse problems. - Aqua Writes on Addiction
For more thoughts on all things related to the subject of addiction.
Opiate Addiction - Recommended Reading
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Addiction and Opiates
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Narcotics: Pit of Despair DVD (1967) Drug Abuse Rehabilitation Video
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List Price: $7.99 |
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Suboxone: Take Back Your Life From Pain Medications
Price: $23.50
List Price: $58.50 |
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Comments
I'm really glad to hear you're not on it anymore and I hope you've found something else that works for you. Some people seem to do okay with it and never have a problem. Unfortunately, that's not the situation with everyone. I really feel for those in chronic pain that need meds all the time.
I am now in the middle of withdrawal voluntarily for the 4 time, Im a dumbass.
Jluck - no, not a dumbass at all. You would be amazed how many people have been where you are right now. I would like to recommend you go to a medical facility, explain you're in withdrawal and see what they can do to help. They might be able to put you on methadone temporarily or know of something better suited to your individual situation. I truly wish you the best - I know it's a struggle. Hang in there.
You are right Aqua- Jluck you are not a dumbass. It's a hard thing to deal with getting yourself off of something that was given to you by a doctor at some point, that made you feel better. We all want to feel better, and when they give us these meds that give us the satisfaction instantly, boy oh boy is it hard. Excellent Hub Aqua- the statistics are showing more and more "soccer moms" and housewives getting addicted to these meds every day, reading articles and comments from others struggling with it can often times help, and give hope.
Thank you for the thoughtful comment Miss Markayla.
Opiate Addiction in the News
- Opiate addiction take tollThe Chronicle-Journal4 days ago
Opiate-based prescription drug abuse is a community problem that requires community solutions. That was the key message presented by the Thunder Bay Drug Strategy Steering Committee on Thursday evening as it launched its opiate awareness campaign Thursday night.
- DA: Massapequa MD sold opiate prescriptions near schoolNewsday2 hours ago
Dr. Saji Francis, 49, of 4 Legends Circle, Melville, sold the prescriptions nine times between Sept. 1 and Dec. 8, according to the Nassau's narcotics/vice squad.
- The Big Question: Is methadone being over-prescribed as a treatment for drug addiction?Independent7 hours ago
Why are we asking this now? A dispute has erupted over the treatment of drug addicts in prisons. According to the former government drugs tsar, Mike Trace, the Ministry of Justice and the Department of Health are battling to impose their differing approaches.






ralwus says:
3 months ago
Todays stuff is really bad. I was on dilaudid for seven years, legally of course, and I finally had to force myself to get off of it and seek another pain treatment for cancer. I don't miss it or the side effects at all. Never again. I had to have another form of it recently due to a surgery while I was in the hospital and again I had to wean myself off of it after being home for three days. Ach!