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What are opiates?

 

Opiates are analgesic alkaloid compounds found naturally in the opium poppy plant Papaver somniferum. The psychoactive compounds found in the opium plant include morphine, codeine, and thebaine. The term opiate should be differentiated from the broader term opioid, which includes all drugs with opium-like effects, including opiates, semi-synthetic opioids derived from morphine (such as heroin, hydrocodone, hydromorphone, oxycodone, and oxymorphone), and synthetic opioids which are not derived from morphine (such as fentanyl, buprenorphine, and methadone). All opioids, including the opiates, are considered drugs of high abuse potential and are listed under the Controlled Substances Act.

In 2013 between 13 and 20 million people used opiates recreationally (0.3% to 0.4% of the global population between the ages of 15 and 65.

 

Opiate withdrawal syndrome effects are associated with the abrupt cessation or reduction of prolonged opiate usage. In medical facilities such as hospitals and clinics, the threat of relapse is possible when Post-acute-withdrawal syndrome is under-emphasized to patients in transitional phases, especially with short-term buprenorphine, methadone or health facilities. Constipation develops in 90 to 95% of people taking opioids long term. Since tolerance to this problem does not develop readily, most people on long-term opioids will need a laxative.

 

Drug addiction is a complex set of behaviors typically associated with misuse of certain drugs, developing over time and with higher drug dosages. Addiction includes psychological compulsion, to the extent that the sufferer persists in actions leading to dangerous or unhealthy outcomes. Opioid addiction includes insufflation or injection, rather than taking opioids orally as prescribed for medical reasons.

 

Opioids are primarily misused due to their ability to produce euphoria. Misuse can also include giving drugs to people for whom it was not prescribed or selling the medication, both of which are crimes punishable by imprisonment in some, if not most, countries.

Opiates

What is opiate addiction?

 

Opiates produce a sense of wellbeing or euphoria that can be addictive to some people. Opiates are legitimately used for treating pain. When used for pain relief, many people develop tolerance, meaning they need more and more to get the same effect. Some people go on to develop an addiction to opiates. They begin to obsessively think about getting more opiates and in some cases engage in illegal activities such as double doctoring.

A high dose of opiates can cause death from cardiac or respiratory arrest. Tolerance to the euphoric effect of opiates develops faster than tolerance to the dangerous effects. Therefore people often overdose by mistake because they are trying to get a higher high and take too much.

Opiate overdose can be reversed in hospital with intravenous naltrexone. Please contact emergency services if you feel you are in danger of an overdose.

Opiate Withdrawal

Opiate withdrawal can be extremely uncomfortable. The important thing to remember is that opiate withdrawal is not life threatening if you are withdrawing only from opiates and not a combination of drugs. (Withdrawal from alcohol and some drugs such as benzodiazepines is potentially dangerous)

 

Opiate withdrawal symptoms include:

  • Low energy, Irritability, Anxiety, Agitation, Insomnia

  • Runny nose, Teary eyes

  • Hot and cold sweats, Goose bumps

  • Yawning

  • Muscle aches and pains

  • Abdominal cramping, Nausea, Vomiting, Diarrhea

 

Opiate withdrawal symptoms can last anywhere from one week to one month. Especially the emotional symptoms such as low energy, anxiety and insomnia can last for a few months after stopping high doses of opiates.

Once the early stage withdrawal symptoms are over, you will still experience post-acute withdrawal symptoms. These are less severe but last longer.

 

Do You Have an Opiate Addiction?

 

Here are a few self-assessment questions:

 

Has your use of opiates increased over time?
Do you experience withdrawal symptoms when you stop using?
Do you use more than you would like, or more than is prescribed?
Have you experienced negative consequences to your using?
Have you put off doing things because of your drug use?
Do you find yourself thinking obsessively about getting or using your drug?
Have you made unsuccessful attempts at cutting down your drug use?

If you answered yes to at least three of those questions, then you are likely addicted to opiates.

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