Oxycontin is frequently made more available by “doctor shopping,” where individuals, who do not have a legitimate illness, repeatedly visit many doctors to acquire large amounts of controlled substances. Other methods of obtaining oxycontin include pharmacy diversion, robbery, fake/stolen prescription, the internet and improper prescribing practices by physicians.

Recent reports indicate that non medical use of Oxycontin is relatively high among teenagers. The increased misuse of the drug has led to a numerous emergency admissions and even deaths. Many States have introduced legislation to decrease the illegal use of Oxycontin. Numerous States have also introduced prescription monitoring and banned the sale of the drug over the internet. Despite all the increased efforts by the FDA, DEA, and state/local authorities, the illicit use of Oxycontin is at an all time high. Over the last decade the increased illicit use of oxycontin has led to the manufacture of “fake” oxycontin pills all over north America.

Sudden stoppage of oxycontin can result in serious withdrawal symptoms. The withdrawal syndrome may be characterized by restlessness, lacrimation, restlessness, anxiety, rhinorrhea, yawning, perspiration, chills, myalgia, and mydriasis. Other symptoms also may develop, include irritability, vague pain, weakness, abdominal cramps, insomnia, nausea, anorexia, vomiting, diarrhea, or increased blood pressure, respiratory rate, or heart rate.

Both physicians and pharmacies now maintain careful record-keeping of prescribing information, including quantity, frequency, and renewal requests. Adequate evaluation of the patient, proper prescribing practices, frequent assessment of pain, proper dispensing and storage are recommended steps that may help limit the abuse of OxyContin.

Side effects

Respiratory depression is a major severe complication of oxycontin. Respiratory depression is a cause of concern in elderly or debilitated patients, and usually follows after the use of large initial doses in non tolerant patients, or when other opioids are given concurrently. In the community, the majority of OxyContin-related deaths have occurred in individuals who were ingesting large quantities of oxycontin in combination with either alcholol or benzodiazepines.

Oxycontin should be used with extreme caution in patients with significant lung disorders such as chronic obstructive pulmonary disease, heart failure or pre-existing respiratory depression. In such patients, even usual therapeutic dose of oxycontin may suppress the respiratory drive to the point of arrest.

OxyContin may cause severe hypotension. There is an added risk to individuals whose ability to maintain blood pressure has been compromised by a depleted blood volume, or after concurrent administration with drugs such as phenothiazines or other agents which compromise vasomotor tone. Oxycontin, should be administered with caution to patients in circulatory shock, since vasodilatation produced by the drug may further reduce cardiac output and blood pressure.

Like other opioid narcotics, oxycontin can be fatal at high doses or when combined with other brain depressants such as alcohol.

Precautions

Oxycontin, like all opioid analgesics, has a narrow therapeutic index in certain patient populations, especially in those taking other CNS depressant drugs. Its use should be reserved for cases where the benefits of opioid analgesia outweigh the known risks of respiratory depression, altered mental state, and postural hypotension. The administration of oxycontin may obscure the diagnosis or clinical course in patients with acute abdominal conditions. Oxycontin may aggravate convulsions in patients with seizure disorders, which is why they should seek a professional medical detox center.

One dose of buprenorphine remains active in the human body for as long as 48 hours, which provides a longer duration than morphine. This is one of the qualities that make this drug ideal for helping opioid addicts to break free of their addiction. Since the drug remains in the body for 48 hours, it also ensures that the withdrawal symptoms that people experience are significantly decreased.

Buprenorphine requires sublingual (under the tongue) administration on a frequent basis. Drug administration should always be supervised by a substance abuse treatment professional, and doses must be strictly monitored. Federal regulations require this in order for treatment centers and medical facilities to be able to administer the drug at all.

There are some side effects that can occur along with the use of buprenorphine. They range from moderate to severe, and it should be pointed out that this drug can, in some cases, produce fatal side effects. The most commonly occurring side effects include the following:

• Headache

• Drowsiness

• Dizziness

• Vomiting

• Decreased libido

• Constipation

• Respiratory depression

Respiratory depression is the side effect that presents the most serious problems with the use of buprenorphine, as it can be fatal in some people. Unfortunately, there is no way to correct or treat this problem should it develop.

While undergoing buprenorphine treatment, all patients are regularly monitored to see how their livers are functioning, as some adverse effects can be caused by using this drug.

Even though buprenorphine is used to treat people with opioid addictions, the possibility does exist for an addiction to the buprenorphine itself to develop. The types of dependencies that can develop include both physical and psychological. People who are considering undergoing treatment with this drug should be aware, however, that instances of people becoming addicted to buprenorphine are quite rare.

Often times, one of the primary questions that people have is whether they should choose buprenorphine or methadone as a treatment option. Both of these drugs are routinely used for short-term and long-term treatment of opioid addiction. Dosing requirements may be a bit better with buprenorphine simply because of the drug’s ability to remain in the body for 48 hours, thereby offering longer-term effects. With buprenorphine, patients typically only have to receive a dose every other day, while methadone requires daily dosing.

Buprenorphine also has an advantage regarding the total amount of treatment time that is required to successfully complete a detoxification program. With buprenorphine, treatments generally last for a few months, while with methadone indefinite or sometimes lifelong treatment is necessary.

It is very important that buprenorphine be administered in an inpatient treatment facility, particularly one that specializes in substance abuse treatment. Inpatient treatment programs not only offer patients detox programs, they also offer treatment or rehabilitation programs that are designed to help people learn healthier ways of living. Some of these treatment programs include counseling, diet and exercise, massage, acupuncture, and group therapy.

The purpose in these additional treatments is to give patients a better chance of maintaining success by giving them the tools they need to lead lives that are free of substance abuse. If patients learn how to be healthy and happy (physically and emotionally) then they will be far less likely to have a relapse.

Source: Drug Addiction Treatment

Drug addiction symptoms or behaviors include:

• Feeling that you have to use the drug regularly — this can be daily or even several times a day
• Failing in your attempts to stop using the drug
• Making certain that you maintain a supply of the drug
• Spending money on the drug even though you can’t afford it
• Doing things to obtain the drug that you normally wouldn’t do, such as stealing
• Feeling that you need the drug to deal with your problems
• Driving or doing other risky activities when you’re under the influence of the drug
• Focusing more and more time and energy on getting and using the drug

Narcotic painkillers
Opioids are narcotic, painkilling drugs produced naturally from opium or made synthetically. This class of drugs includes heroin, morphine, codeine, methadone and oxycodone (OxyContin).

Signs of narcotic use and dependence can include:

• Reduced sense of pain
• Sedation
• Depression
• Confusion
• Constipation
• Slowed breathing
• Needle marks (if injecting drugs)

Recognizing drug abuse in teenagers
Possible indications that your teenager is using drugs include:

• Problems at school. Frequently missing classes or missing school, a sudden disinterest in school or school activities, and a drop in grades may be indicators of drug use.
• Physical health issues. Lack of energy and motivation may indicate your child is using certain drugs.
• Neglected appearance. Adolescents are generally concerned about how they look. A lack of interest in clothing, grooming or looks may be a warning sign of drug use.
• Changes in behavior. Teenagers enjoy privacy, but exaggerated efforts to bar family members from entering their rooms or knowing where they go with their friends might indicate drug use. Also, drastic changes in behavior and in relationships with family and friends may be linked to drug use.
• Spending money. Sudden requests for money without a reasonable explanation for its use may be a sign of drug use. You may also discover money stolen from previously safe places at home. Items may disappear from your home because they’re being sold to support a drug habit.

Source: The Mayo Clinic

Detox at an addiction center can take days or even weeks, depending on what the person was abusing, how much they were using and for how long. However, just because a person has completed medical detox doesn’t mean that they are through with their rehab program. In fact, detox is just one small step in the larger process of freedom from drug and alcohol dependency.

When a person becomes addicted to drugs or alcohol, they aren’t just addicted to the substance they are abusing – they become addicted to the flood of pleasurable stimuli that the substance provides to them. No drug rehab program can be successful without changing the mindset of a person and helping them to understand how their addiction has changed them and what they need to do to move forward.

In addition to the lessons about moving forward that are taught at a rehab center, addicts also must address the root causes of their addiction. The majority of addicts start abusing drugs or alcohol because of other factors such as genetics, unhappy childhoods or unstable current lives. Without addressing these underlying factors, most people will eventually fall right back into their patterns of addiction and dependence.

For all of these reasons, it’s important to do more than just “get dry” when trying to quit drinking. Long-term abstinence requires a total rehab program that addresses every aspect of the drug or alcohol addiction.

By Sarah Michaels

People looking for treatment for prescription drugs in Florida are basically addicted to three categories of drugs. The first types of drugs are opiates. They are taken to relieve pain. Codeine, Demerol, Dilaudid, Morphine and Vicodine are some of the commonly prescribed drugs under this category. Anyone taking these medicines over a longer period of time can easily get addicted and treatment for addiction is necessary, especially in the initial stage of withdrawal. The second category of drugs is CNS depressants. It can be divided into two sub-categories – barbiturates and benzodiazepines. Nembutal and Mebaral come under barbiturates and are given to people suffering from anxiety and sleep disorder. Halcion, Librium, Valium and Xanax come under benzodiazepines and are taken for panic attacks and anxiety. Stimulants belong to the third category. Ritalin and Dexedrine are examples of the Stimulants that are commonly used today. They are provided to stimulate the brain in order to make a person more agile and active. Treatment for prescription drugs should immediately the initiated once the addiction is detected.

Treatment for prescription drugs in Florida involves inpatient therapy, outpatient therapy and group therapy. The inpatient treatment requires patient to be admitted to a detox treatment facility. The patients are carefully examined by physicians and taken off of their particular drugs safely and securely. The whole procedure may take 7 to 10 days. After the detox treatment is complete patients are referred to counselor who then makes further arrangements for individual and group therapy. They are subjected to number of educational lectures and group discussions in order to make them understand the drug addiction and its consequences. This helps them to rehabilitate successfully. In the outpatient program patients are treated through various interventions that include detox treatment, massage therapy, acupuncture sessions and hydro-therapy. Patients are required to visit the treatment facility from time to time in order to be examined and to determine the extent of their addiction and the progress of their individual treatment plan. Patients are also encouraged to take part in various recreational activities like swimming, running, exercising, playing outdoor games and others that are provided at the treatment facility. In group therapy patients are encouraged to participate in meetings that are designed to educate them about Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) programs. Emphasis is laid on social interaction as most take to drug addiction because of the feeling of loneliness.

Treatment for prescription drugs in Florida is based upon the philosophy that every individual is important and unique and should be treated with distinction and respect. The main purpose of the treatment is to help the individual to become healthier and lead a drug free life.

By Gen Wright

When treating pain, health care providers have long wrestled with a dilemma:

How to adequately relieve a patient’s suffering while avoiding the potential for that patient to become addicted to pain medication?

Many doctors underprescribe painkillers because they overestimate the potential for patients to become addicted to medications such as morphine and codeine. Although these drugs carry a heightened risk of addiction, research has shown that providers’ concerns that patients will become addicted to pain medication are largely unfounded. This fear of prescribing opioid pain medications is known as “opiophobia.”

Most patients who are prescribed opioids for pain, even those undergoing long-term therapy, do not become addicted. The few patients who do develop rapid and marked tolerance for and addiction to opioids usually have a history of psychological problems or prior substance abuse. In fact, studies have shown that abuse potential of opioid medications is generally low in healthy, nondrug-abusing volunteers. One study found that only 4 out of about 12,000 patients who were given opioids for acute pain became addicted. In a study of 38 chronic pain patients, most of whom received opioids for 4 to 7 years, only 2 became addicted, and both had a history of drug abuse.

The issues of underprescription of opioids and the suffering of millions of patients who don’t receive adequate pain relief has led to the development of guidelines for pain treatment. This may help bring an end to underprescribing, but alternative forms of pain control are still needed. NIDA-funded scientists continue to search for new ways to control pain and to develop new pain medications that are effective but don’t have the potential for addiction.

Assessing Prescription Drug Abuse: Four Simple Questions

By Carol & Richard Eucstice

What Causes an Oxycodone Addiction? The main cause of an oxycodone addiction is abuse. When a person who is prescribed this drug takes more than prescribed or a person who is not prescribed this drug takes it, they put themselves at risk for addiction. In some cases, a person who takes this drug as prescribed for a prolonged period of time may become addicted to oxycodone. Peer pressure and mental illness can also increase a person’s chance of becoming addicted to oxycodone because it may make them more vulnerable to abusing this drug. Having a family history of drug abuse, specifically oxycodone abuse, can make a person more vulnerable to addiction. Patients who experience chronic pain may be more vulnerable to oxycodone addiction because they may take more than prescribed in an effort to try and decrease their pain.

Signs and Symptoms of Oxycodone Addiction- When a person becomes addicted to oxycodone they may present with certain abnormal behaviors. This drug often causes a euphoric effect so those who are addicted may seem abnormally happy and carefree often. They may also take more risks and seem to not care about consequences. They may also present drug-seeking behavior when they need more oxycodone. When an oxycodone addict does not have the drug they will most likely experience withdrawal symptoms. Oxycodone withdrawal symptoms can include diarrhea, rapid breathing, abdominal cramps, crying, loss of appetite, runny nose, muscle aches, hyperactivity, cold and hot flashes, agitation, tremors, dilated pupils, fever and increased heart rate.

Dangers and complications of oxycodone addiction- Oxycodone can be a dangerous drug when abused. Abuse leads to addiction, which can cause a variety of complications including death. If a person takes too much of the drug they may fall into a coma, suffer heart failure, respiratory failure, kidney failure or if taking a form of oxycodone that is combined with acetaminophen, liver failure or liver toxicity.

Coping with and overcoming an oxycodone addiction- most people suffering from an oxycodone addiction will not be able to stop by themselves. They will need help from their friends and families. If a person is prescribed oxycodone and has become addicted to it, they need to talk to the doctor who prescribed them the medication. Their doctor can then help wean them off the oxycodone and switch them to a medication they will not become addicted to. If the person was not prescribed oxycodone or if they are heavily addicted they will most likely need to go to rehab. Some people will benefit from outpatient rehab, but most may need inpatient rehab so that they can be monitored and treated 24 hours a day. Many addicts will relapse a time or two so it is important that they continue to get help even after they complete a rehab program. After-rehab programs, such as narcotics anonymous, can help addicts remain clean as well as help anyone who relapses quickly recover from their relapse.

by Lisa Simmons

By http://www.clearbrookinc.com

 Signs of hydrocodone addiction are no different than most other painkiller addictions, or any addiction for that matter. Here is just a short list of some of the things I have experienced in my own life. If any of these things sound familiar whether it’s in your life or the life of someone close to you, it could be the beginning of a hydrocodone addiction.

Not taking the drug as prescribed by your doctor. There are a specific ways to take hydrocodone for it to be effective to treat pain, taking it for any other reason could be a sign of addiction. Taking hydrocodone for sleep, to get high, to relax, to calm the nerves, mixing it with alcohol or other drugs, and taking them more frequently than your doctor recommends. If you are running out of pills long before your next prescription, than you may want to tell your doctor so he can monitor your use better. Doctor shopping is a definite no no when it comes to having pain medication prescribed. Not only is it a sign of drug abuse, it is also against the law.  If you are caught doctor shopping then you may never be able to get pain medication prescribed again. This can be a big problem if you are taking them for legitimate pain.

If you feel ill a lot for long periods of time then you may be going through hydrocodone addiction withdrawal. This can make someone very irritable and lash out to the ones close to them. Withdrawal can make you sick for days on end and if you must come off the pain medication, then it is best to do so under the care of a doctor and enter a detox center. Hydrocodone addiction is a serious issue. If you feel you may be addicted please consult a doctor. Hydrocodone contains acetaminophen, and if over exposed can lead to liver damage in the future. A doctor can best advise proper hydrocodone addiction detox treatment. Then later after the drug is removed from the system, then you can think about drug addiction recovery. There are many great treatment centers available that can be visited around your schedule. A 28 in patient treatment may be the best route, but outpatient treatment is also available. 12 step recovery is also a great way to deal with addiction once released from treatment. This way you can have a form of personal treatment when released into the real world.

By Gordon Thomas

Being newly detoxed from drugs my body was still going through PAWS (Post Acute Withdrawal Syndrome).  PAWS tends to create in individuals an excess of emotion including hyper activity. Even small events of little consequence may loom large in someone’s mind and create strong (not being able to bond thoughts together) reactions. This may lead others to suspect a relapse or create social withdrawal. Shame emotions may be noted. Conversely, they may notice a numbing of emotions. The inability to feel impairs proper emotional bonding with friends and family during the early recovery process. It also impairs the recovery process itself as the individual struggles with trying to feel the resentments, anger, guilt, shame and other emotions common in recovery.