Opioids : A Wicked Addiction

Opioid addiction is so prevalent in the healthcare system because of the countless number of hospital patients being treated for chronic pain. While opioid analgesics have beneficial painkilling properties, they also yield detrimental dependence and addiction. There is a legitimate need for the health care system to provide powerful medications because prolonged pain limits activities of daily living, work productivity, quality of life, etc. (Taylor, 2015). Patients need to receive appropriate pain treatment, however, opioids need to be prescribed after careful consideration of the benefits and risks.

Although opioids are legal when prescribed by a doctor or dentist, there is a chance of exemplary people with moderate to severe pain unintentionally becoming hooked on this extremely addictive drug. People who become addicted to drugs feel guilt, embarrassment, and

Analysis: Opioids are a class of drug that are medically used as very effective painkillers, like fentanyl and morphine, however, they are highly addictive and produce a feeling of euphoria (“Opioids”). This combination leads do a lot of abuse and dependency, where people take more than prescribed in order to feel better. People start off taking the opioid painkillers in order to not feel pain as prescribed by their doctors. Then, they end up getting addicted to them. There are also illicit opioids, such as heroin, that are also highly addictive and also lead to dependency and death (“Opioids”). These illicit versions are taken for recreational reasons, and are also often mixed with other drugs. The combination of taking an unregulated drug in conjunction with other drugs leads to a lot of overdoses.

Many people have developed an addiction due to an injury and which were prescribed painkillers to manage and treat the pain. Prolonged use leads to dependence and once a person is addicted, increasing amounts of drugs are required to prevent feeling of withdrawal. Addiction to painkillers often leads to harder drugs such as heroin due to the black market drug being cheaper. Prescription drugs remain a far deadlier problem and more people abuse prescription medication than cocaine, methamphetamine heroin, MDMA and PCP combined. Drug abuse is ending too many lives too soon and destroying families and communities.

How is this addiction so common? Opioids act by way of attaching themselves to receptors of the brain and/or body, and once doing so, they send signals to the brain which results in the prevention of pain, slowing of breath, and instills a sense of calmness. Opioids mirror neurotransmitters in their chemical structure, and are thus, able to affect brain receptors in the same way. However, opioids are not as consistent as neurotransmitters; they aren’t able to activate nerve receptors as natural neurotransmitters do. Opioids instead target the brain’s reward system, flooding the circuit with dopamine. Dopamine itself is a highly influential neurotransmitter that regulates parts of the brain relating to movement, emotion, cognition, motivation,

In fact, there was thought to be more of a need for them. Before the last two decades, opioids were used for cancer related or acute pain. However, in the 1990s chronic non cancer patients got attention because people nationally felt there was a shortage in patients receiving opioids, thus making them deprived of adequate pain management. Because of this, clinicians were encouraged to treat chronic non-cancer pain and patients in hospice care more often than they were used to. It was also encouraged to use high doses of opioids for long periods of time (Cheatle). The idea that providers seemed overly cautious about these medications caused a large increase in opioid prescriptions from health care providers. Threat of tort and litigation for some doctors that were deemed for not prescribing enough to alleviate pain of patients was also a concern for doctors This quickly turned a shortage of prescription opioids into a national prescription opioid abuse epidemic in under twenty years. From 1999 to 2010, the amount of prescription opioids sold to hospitals, pharmacies, and doctors offices quadrupled, and three times the number of people overdosed on painkillers in this time (Garcia). While some patients have benefitted from the increased sales and loose guidelines of prescription opioid analgesics, the increasing in opioid misuse, abuse, and overdose is truly daunting. As a nation, we need to back track, and

Doctors and clinical prescribers have discovered their role in curtailing the increased opioid prescriptions in America. It is without a doubt that they play a role in facilitating the opioid misuse endemic in the past by being enablers of the situations. When patients ask for pain medications, they do not take time to analyze the pain complaints or suggest alternative medications other than opioids. Even in instances when one doctor declines to offer a patient an opioid prescription for their pain needs, the patient is likely to find another who will give the prescription. However, there has been wide recognition of the opioid misuse endemic such that clinical prescribers are practicing more vigilant prescribing and are advocating opioid-free

Opioid addiction is a condition that is preventable as well as one which individuals display several noticeable risk factors before the actual addiction prognosis to the point of causing death. There is a strong correlation between the early misuse of prescription opioids, which are prescribed for non-cancer pain management, and the development of a dependence on such opioids. Early detection of risk factors such as the misuse of opioids that are prescribed will help indicate that a patient is developing an addiction.1 Physicians, nurses, pharmacists, and other healthcare providers must closely monitor patients and the rate at which opioids are consumed as well as refilled.

An epidemic is on the rise and is hitting closer to home than one may expect. From the hospitals to the pharmacies and the medicine cabinets of many Americans, the damage prescription opioids are causing have been detrimental. Prescription opioids being medication that is meant to alleviate extreme pain, has induced more damage into the users life with its controversial side effects, and death in an abundant amount of cases. The issue revolving around prescription opioids does not just stay within the parameters of the dangerous medicine itself, but in addition the expansion of loose laws and corruption within the medical industry. This rise in the prescription opioid epidemic has been created by a contribution of physicians, pharmaceutical industry and a misconception of the medicine in the eye of the public. Even with all these factors in play, there is still hope to bring an end to the prescription opioid drug ring, with the combination of current laws and hopeful laws and restrictions in the future. The epidemic of prescription opioids has gone on for far too long and has caused an obscene amount of critical damage to the lives of many for the issue to be ignored any longer. Usage of prescription opioids must be reduced to ensure the safety of patients and to stop further abuse and death.

I think a current scientific concept that is still merging and forthcoming is the issue with opioid addiction and the epidemic as a whole. Scientist and Chemists are trying to come up with a way to reverse the fatal outcome of the medically inclined drug addiction. Scientists have said that reversing the course of addiction will be much harder than stopping the Zika virus. It's not an issue you can go to the root of the problem, in this case the opioid, and research why it's so fatality addicting. You have to understand that the problem of opioid addiction is actually rooted from compassion. Many people of healthcare and chemical sciences, call the issue Iatrogenesis, coming from the Greek language, meaning “brought forth by the healer”. Not

Opioid use disorders are directly linked to major consequences for individuals as well as society. Opioids include drugs such as Vicodin, oxycodone, morphine, and heroin among others (CITE). Currently, estimates show there are about 20 million people abusing or addicted to opioids countrywide (Bell, 2014). Opioid use can cause decrease quality of life as it is a common cause of familial conflict, homelessness, incarceration, life threatening illness, and death by overdose.

Individuals who use Opioids are Addicts. The history of this very debatable topic is very educational and interesting. Opioids are drugs that are prescribed for severe to chronic pain, some examples of opioids are: morphine,?methadone, Buprenorphine,?hydrocodone, and?oxycodone.?Heroin?is also an opioid and is illegal. Opioid drugs sold under brand names include: OxyContin?,?Percocet?, Palladone?(taken off the market 7/2005),Vicodin?, Percodan?, Tylox? and?Demerol? among others. These drugs are also classified as a schedule II drug. Substances in this schedule have a high potential for abuse which may lead to severe psychological or physical dependence. Substances are placed in their respective schedules based on whether they have a currently accepted medical use in treatment in the United States, their relative abuse potential, and likelihood

Living with pain is a daily struggle for many among us. We as a society push our bodies past the breaking point and live to tell the tale through opioid pain relievers. What did the many generations before opioids were created do, how was the pain relieved? That’s easy enough to answer they lived with it, or they didn’t. Medical and pharmaceutical interventions have come a long way in the treatment and management of pain, so much so that now we have run into another problem, the epidemic of opioid addiction and abuse. Out of this problem a far greater problem is being seen and that is the health risks associated with any drug used in a recreational form.

The world of opioids can be divided into two categories: (1) illicit opioids and (2) prescription opioids. Illicit opioids include substances like heroin that people abuse to reach a euphoric and relaxed state. In contrast, prescription opioids are commonly used by doctors in a medical setting to treat pain. Some of these powerful painkillers include codeine, oxycodone, hydrocodone, morphine, and methadone. While these prescription medications provide pain relief for patients who are recovering from surgery or injuries, they also pose serious risks when they are misused. Among these risks are addiction, overdose, and death.

The main issue presented in this article is that current painkillers are highly addictive, and all have extremely risky side effects. This is leading an increasing amount of people each year to form a dependency for these drugs. Ultimately, resulting in more people dying every year from causes that include painkiller addiction also known as opioid addiction.