Opioids
Opioids, or opiates, encompass both illegal drugs like heroin and prescription pain relievers. They can be categorized as natural, derived from the opium poppy, or synthetic. While effective for pain relief, both opiates and opioids pose significant risks, including dependence, addiction, overdose, and potential death.
Opioids interact with receptors in the brain, spinal cord, and digestive system, primarily affecting those linked to pain and pleasure. By binding to these receptors, opioids block pain signals and trigger dopamine release in the brain's reward center, creating feelings of euphoria. This process can lead to a cycle of dependence and addiction, as the brain seeks to replicate the pleasurable experience.
Examples of prescribed opioid medications include:
Codeine – an ingredient in some cough syrups and in one Tylenol® product
Hydrocodone – Vicodin®, Lortab®, or Lorcet®
Oxycodone – Percocet®, OxyContin®, or Percodan®
Hydromorphone – Dilaudid®
Morphine – MSContin®, MSIR®, Avinza®, or Kadian®
Propoxyphene – Darvocet® or Darvon®
Fentanyl – Duragesic®
Addiction Signs and Symptoms
Opioid use disorder is a medical condition characterized by an inability to abstain from opioid use, leading to behaviors that disrupt daily life. Dependence develops when the body adapts to the drug, resulting in withdrawal symptoms if use is reduced or stopped. Many individuals become addicted to prescription painkillers and may then shift to cheaper, more accessible illicit drugs like heroin.
Signs of addiction include:
Repeated use of a substance while increasing the quantities
A repeated failure to reduce the use of the substance
Developing a tolerance, requiring greater usage to achieve the same effect
The inclination to criminal activity or risky behaviors
Increased cravings for the substance
Reduced performance at work, home, or school
Poor relationships with family, friends, and within social circles due to continued use
Experiencing withdrawal symptoms after reducing after a decrease in usage
Opioid Withdrawal Symptoms
Withdrawal from opioids can lead to unpleasant and painful physical symptoms due to the body's dependence on the drug. These symptoms can vary in severity and differ from person to person, depending on the level of withdrawal. Opioid withdrawal can be dangerous, and severe symptoms may occur as individuals reduce or stop their use of the drugs.
Early symptoms (within 24 hours of stopping the drug):
Anxiety
Muscle aches and pains
Insomnia
Excessive sweating
Restless Legs
Repeated Yawning
Later symptoms:
Nausea and vomiting
Rapid heart rate
Dilated pupils
Abdominal cramping
Diarrhea
Higher blood pressure
Opioid Abuse Prevention
Drug overdoses are a major cause of unintentional deaths in the U.S., with opioids being a significant contributor. Effective addiction prevention occurs proactively, particularly through parental engagement. Parents who connect with and monitor their children are better positioned to identify potential addictive behaviors. Adolescents and teens are especially vulnerable, as they often explore gateway drugs and behaviors during these critical developmental years.
Verify the proper usage of prescription opioids
Learn about the dangers of over-prescription and has this practice led to the opioid epidemic. Educate yourself on other pain treatments to control chronic conditions.
Follow prescription directions to ensure proper usage
Monitor your reactions to your prescriptions, other medications, and alcohol so that you are able to make healthy choices.
Consult with your doctor to discuss any changes with your prescription.
Store prescriptions safely and out of reach from other family members, children or visitors.
Do share prescriptions with other people
Safely dispose of unused or expired prescriptions in the home
Food and Drug Administration - Where and How to Dispose of Unused Medicines
Many communities also have their own drug take-back programs. Check with your local law enforcement officials to find a location near you or with the DEA to find a DEA-authorized collector in your community.