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  • BDD Moderators: Keif’ Richards

What are the chances my mom will get addicted ?

Whosajiggawaaa

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She had tried every med under the sun from lyrica to tramadol/codeine, she is a severe chronic pain sufferer and has now been prescribed Oxycontin 10mg twice daily. I'm worried she will get addicted, she doesn't have an addictive personality and no history of addiction. Do you think I'm worrying for nothing ? Could this actually help her ?
 
if she uses them for pain and not recreation she won't get 'addicted.' She will however become physically dependent after a few weeks-month of daily use. For chronic pain i think it's a necessary evil. Addiction is using drugs despite having negative consequences on your life or even just compulsively using drugs despite negatives. So that's usually what drives people to end up ruining their lives whereas with physical dependence your body has just become used to a certain dose and requires more for the same effect. It's not a huge problem to be physically dependent so long as you don't run out of meds.
 
There's a reason they call it pain medication. If your mom is in pain, she needs to take medicine for it. Addicts are the people you see when you drive downtown.
 
No one NEEDS to take pain medication. We take it because we cannot/will not mentally handle the pain. Not saying there is anything wrong with that but pain meds don't cure anything, they just make pain more bearable. And not everyone who is in pain should take opioids. We don't even know what the situation is with Whoseajiggawhaaa's mom is and what she is being prescribed the Oxycontin for (Is it for chronic (long-term) pain? Short-term pain? How much pain is she in and what is causing it? etc)

It is ignorant to say "addicts are the people you see when you drive downtown", as though the only addicts are visible down-and-out homeless people who are addicted to hard street drugs. I'm sure plenty of people on this forum who have addictions would strongly disagree with that assessment. There are tons of people who appear relatively normal who have addictions, and tons of people get addicted to Oxycontin.

OP, if your mother takes Oxycontin every day for more than a week or 2 she will get physically dependent on it. Sometimes people mistakenly use the term "addiction" to describe physical dependence, but they are not the same thing and you can have one without the other. Being physically or physiologically dependent means that the body has adjusted to the drug and now needs it to function normally, so when you stop taking the medication (or don't take it often enough or in a high enough dose) you will get withdrawal symptoms. Being addicted involves the person's behaviour, it means that you lack control over your use of the drug, you continue taking the drug even when you don't really want/need to or there are negative consequence, and you are preoccupied with the drug. Often people deny that they have a problem and hide their addiction from others. People can and do get addicted to Oxycontin, even when prescribed for pain.

It is impossible to know if your mom will get addicted, but it is not the drug itself that determines whether someone will become addicted, it is whether or not their brain is prone to addiction. If the person has depression, anxiety, or takes the drug in ways it wasn't prescribed, these are all signs that they might be more likely to get addicted.

What makes you say your mom does not have an "addictive personality"? Simply not having had a previous drug addiction does not prove anything, many people get addicted to opioids when they have no history of drug addiction. What is her mood like, her behaviours?

If your mom does not have any mental health issues (depression, anxiety, ADHD, etc), has never had any addictive behaviours around anything else (can be non-drug, like shopping, internet, gambling, etc), only takes her meds because she is in extreme pain, and uses them exactly as prescribed, then it is unlikely that she will develop a mental addiction to the Oxy.
 
The placebo effect is an incredibly powerful tool in the medical field.

You should steal her pills and replace them with mints like house does with his patients Vicodin prescriptions.


Just kidding.

maybe.
 
I doubt addiction will ensue if she has taken opioids before without addiction issues (codeine, especially). The prescribed dose of OxyContin is quite low, and if she is using them for pain, I doubt that addiction will be any issue. She will become dependent, but anyone taking opiates for a prolonged period would, it is just what happens, and there is no shame in this.
 
I agree a level of physical and mental dependence is inevitable if this type of medication is used. This isn't necessarily a bad thing as long as she a good doctor who can mange the situation in the proper manner. What is important if the relief of her chronic pain, having a well managed but effective dependence on a medical grade substance is nothing to be scared of. Without belittling the problems Oxy can cause with some people but your mother does not sound like she is at at any great risk of her using in an abusive manner.

In her case it would be a bit like saying a Diabetic is "addicted" to isocline, maybe not the greatest analogy for me it holds enough water in this specific instance.

Best Wishes to you and yours
 
If she is taking Oxy's twice daily, then her tolerance will do up, which will result in a physical dependance on the pills. However, if she is getting prescribed Oxy's, then generally it is for a good reason. My roommate broke his back previously & is on Oxy's daily. He lives a pain free life that seems to satisfy him.
 
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