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People with addiction (severe substance use disorder) have an intense focus on using a certain substance(s), such as alcohol or drugs, to the point that it takes over their life
Hmmm. I wonder if they'd call it substance use disorder about people who are addicted to gambling, pornography, politics and religion to the point it takes over their lives.
Hmmm. I wonder if they'd call it substance use disorder about people who are addicted to gambling, pornography, politics and religion to the point it takes over their lives.
.
Sure, why not those activities all stimulate the release of dopamine and in some people there is real psychological distress if they can't continue the activity
This is a complex problem that cannot be solved by passing laws that restrict doctors from prescribing pain meds as needed, which is one patient at a time. Even if Congress were foolish enough to completely ban pain meds, it makes no dent in the heroin/cocaine/meth market as those are completely unregulated. In fact it would make things worse as some of those who need pain meds would turn to street drugs to avoid the horrible withdrawal symptoms like you had to go through.
They are not unrelated issues. The reason those drugs are being restricted is because a large number of people are not using them as prescribed, or they are being stolen from them by friends or family members. Non-medical use of opiate pain relievers are definitely a gateway to heroin abuse by at least some people who take them, it's going to be really hard to slow that trend down without putting restrictions on the drugs prescribed to people who have a legitimate need for them:
Pooling data from 2002 to 2012, the incidence of heroin initiation was 19 times higher among those who reported prior nonmedical pain reliever use than among those who did not (0.39 vs. 0.02 percent) (Muhuri et al., 2013). A study of young, urban injection drug users interviewed in 2008 and 2009 found that 86 percent had used opioid pain relievers nonmedically prior to using heroin, and their initiation into nonmedical use was characterized by three main sources of opioids: family, friends, or personal prescriptions (Lankenau et al., 2012). This rate represents a shift from historical trends. Of people entering treatment for heroin addiction who began abusing opioids in the 1960s, more than 80 percent started with heroin https://www.drugabuse.gov/publicatio...tor-heroin-use
My guess is you will see smaller doses being prescribed at one time, and perhaps blood tests to see if the person who they are prescribed for is actually taking them. I say that because my son's ex gets a prescription for 100 pain pills very month, she was getting oxy but I think they changed it to percocet. . She doesn't take any of them she sells them as soon as she gets them. I have no idea why she is prescribed them, she had scoliosis surgery about 20 years ago but never complains of pain to anyone except her doctor.
Sure, why not those activities all stimulate the release of dopamine and in some people there is real psychological distress if they can't continue the activity
Well the same thing can be said about eggs and protein cravings. The high concentration of protein in eggs (it's 5 X higher than beef) releases dopamine. Here's an information sheet with a list of 10 common foods that stimulate the increase of dopamine and the reasons why. Eggs is on the list.
I've had three occasions where the doctor "pushed" pain pills on me saying if the pain got to be too bad...
The first time, I filled one of these prescriptions and the bottle stayed on the shelf so long I forgot I had them. Threw them away years later. After that I didn't bother to fill the prescription. I think maybe doctors are to quick to prescribe.
On a side note...
The problems of mass addiction are easily solved; throw everyone caught in jail. Stiff penalties did wonders for the AA community, why not the same for everyone.
I've had three occasions where the doctor "pushed" pain pills on me saying if the pain got to be too bad...
The first time, I filled one of these prescriptions and the bottle stayed on the shelf so long I forgot I had them. Threw them away years later. After that I didn't bother to fill the prescription. I think maybe doctors are to quick to prescribe.
On a side note...
The problems of mass addiction are easily solved; throw everyone caught in jail. Stiff penalties did wonders for the AA community, why not the same for everyone.
Depends on the doctor.
I work in health care and with many doctors.
The vast majority that I've encountered, if anything, make patients jump through hoops to get any kind of controlled substance.
The vast majority that I've encountered, if anything, make patients jump through hoops to get any kind of controlled substance.
I don't know where or how long ago the poster you responded to here had a doctor "push" pain meds on him, but it hasn't been that way around here for a long time now. For a doctor to prescribe narcotics there has to be a quite verifiable reason. And even then it's still jumping through hoops. These penalties for getting caught abusing such as he/she suggests are also already in place. Get caught with meds you weren't prescribed for you for a specific reason and you're looking at prison time.
At he doctor/patient end of things all these laws really accomplish is to keep doctors from providing people who really need such medications. True addicts will get their fix somewhere. People who follow the law but are in legitimate need are left to twist.
I've had three occasions where the doctor "pushed" pain pills on me saying if the pain got to be too bad...
The first time, I filled one of these prescriptions and the bottle stayed on the shelf so long I forgot I had them. Threw them away years later. After that I didn't bother to fill the prescription. I think maybe doctors are to quick to prescribe.
Agreed. Some of the doctors I've encountered are quick to want to prescribe pain meds. - without me even saying I needed/wanted them.
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