Opioid Abuse FREE

Opioids are a family of related drugs that relieve pain. All of the opioids (sometimes called narcotics) are chemically related to opium, which is a substance collected from the poppy plant. Opioid drugs include opium, codeine, fentanyl, heroin, hydrocodone, methadone, morphine, oxycodone, paregoric, and sufentanil. When prescribed by a doctor, the pain-relieving properties of opioids are used during and after surgical procedures, for the pain of childbirth, for injury, and for other pain problems. Although opioid medications have helped millions of individuals with pain, these drugs can be used inappropriately. The September 15, 2004, issue of JAMA includes an article about abuse of prescription opioid medication.

Drug abuse is a pattern of inappropriate drug use that leads to recurrent problems in fulfilling obligations, impaired physical functioning, conflicts with family and friends, and legal problems. Drug abuse may progress to dependence (sometimes called addiction), manifested by a strong desire to continue the drug despite the increasingly severe problems it causes, tolerance (a need for larger amounts of the drug to get the same effects), and withdrawal symptoms if the drug is stopped.

Recognition and admission that drug abuse exists is the first step in treatment. Drug addiction is a chronic medical problem. It is a treatable disease but relapse is a prominent feature. Relapse must be considered as part of a treatment plan. Drug abuse counseling is an important part of treatment. Participation in support groups, such as Narcotics Anonymous, may help individuals in treatment for opioid abuse. Certain medications may be used as a part of treatment. These include methadone, a long-acting opioid taken by mouth, which can substitute for the harmful injection of illegally obtained opioids.

To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish. A Patient Page on cocaine addiction was published in the January 2, 2002, issue, and one on treating drug dependency was published in the March 8, 2000, issue.

Sources: National Institute on Drug Abuse, American Psychiatric Association, National Council on Alcoholism and Drug Dependence

The JAMA Patient Page is a public service of JAMA. The information and recommendations
appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. Any other print or online reproduction is subject to AMA approval. To purchase bulk reprints, call 718/946-7424.

TOPIC: DRUG ABUSE