Opioid Tolerance

Opioid drugs are some of the most widespread pain medications that we have in this country; indeed, the fact is that opioid analgesic prescriptions have increased by over 300% from 1999 to 2010 (Mitch 989). Consequently, the number of deaths from overdose increased from 4000 to 16,600 a year in the same time frame (Mitch 989). This fact becomes even more frightening when you think about today; the annual number of fatal drug overdoses in the Unites States now surpasses that of motor vehicle deaths (Alexander 1865). Even worse, overdose deaths caused by opioids specifically exceed those attributed to both cocaine and heroin combined (Alexander 1865).

Thesis Statement: Today, I will inform you on what opioid do to their victims and possible solutions to the problem.

According to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5, opioid use disorder (OUD) is characterized by patterns of opioid use that are problematic and persist for at least one year (American Psychiatric Association, 2013). Evidence of problematic use of opioid is demonstrated through the presence of at least 2 symptoms which include withdrawal, craving, and continued use of opioids despite the disruptions it causes in personal and professional life. The substances used by persons with OUD are heroin and nonmedical pain relievers ([NMPR]; i.e. nonmedical use of opioid pain relievers), and estimates for DSM-5-defined OUD tend to combine the prevalence of use for each of these substances to determine overall

The guideline named opioid cumulative dosing override allows for an override for an opioid product equal to or exceeding the hard-stop threshold (60mg morphine equivalent dose) and a 7 day supply. An override will be provided for patients with one of the following conditions: diagnosis of cancer, palliative care, or sickle cell disease, patients enrolled in hospice care, or patients taking an opiate tapering regimen following an orthopedic procedure with an end date not to exceed 21 days. For all other patients, the prescriber must be aware that all of the following criteria must be met: the diagnosis for use of the opiate and reason for continued use are documented, previous trials of non-drug and/or non-opiate use are documented, the patient does not have concurrent use of benzodiazepines

The opioid epidemic in America continues to grow at an alarming rate with no end in sight. All narcotics are derived from the opium poppy plant and then manufactured into different forms of drugs such as morphine, heroin, and other pharmaceutical and synthetic opioid drugs sold on the market for pain. Opium derived drugs block and suppress pain by binding to and stimulating the natural receptor sites for endorphins found in the central nervous system of a user’s brain. Patients who are prescribed narcotic drugs can quickly become addicted to the drugs because their body’s will stop producing endorphins and instead

Substance abuse disorders have been considered a major epidemic by public health authorities during this century. Most recently, those who use, and abuse opioids have been in the spotlight. The growing number of overdoses, deaths, and individuals who are identified as opioid abusers has, of late, been the subject of media attention. Now coined “The Opioid

On the other hand, despite the medical benefits mentioned above, morphine is an addictive drug which a number of individuals in the current society misuse or abuse it for recreational purpose. These addiction and dependency could be caused by genetics, environment but most importantly, the change in brain and chemical structure. Like other opioids, morphine addiction could be inherited from previous generations and therefore, the ones who had relatives that is a current or past morphine

However, the last 40 years have seen perhaps the worst drug crisis yet: that of the current American opioid epidemic. Statistics make it obvious that smuggled heroin, corrupt doctors, and “pill mill” pharmacies are causing the 33,000 annual overdose deaths in our country. But to truly understand the effects of this growing issue, we must closely analyze the history, chemical makeup, and physiological draw to these drugs and the lives of their users and abusers.

The opioid crisis was caused by a variety of factors, but the main reason why these drugs are in the spotlight is because of the actions of the drug manufacturers. In order to fully understand the spark of the opioid crisis, it is imperative to understand what makes these drugs so potent. Writer and crime journalist Sam Quinones states that opioids are synthetic drugs. Naturally sourced drugs, known as opiates, are derived from the opium poppy plant. However, experts use both of these terms interchangeably. The use of opioids grew around the late 90s, and legally, most people used these drugs for pain relief. However, the people that were using these drugs had little information as to how addicting opioids actually were. In fact, opioids are

The opioid epidemic is a problem of importance to me, with an immense national impact. As an adolescent in Chicago, I am exposed to the horrifying statistics of opioid abuse every day. For example, the CDC reports that 91 Americans die from opioid overdose every day and the number is quickly rising. Also, the amount of Americans have died from the "opioid war" is more than 3 times the U.S Military deaths during the Vietnam War. I have watched the stories of babies born with opioid addiction, teenagers in rural parts of Milwaukee and Ohio dying from overdosing and families being torn apart because of drugs like heroin, Percocet, and opium. There are people who believe that only poor and low-income individuals succumb to opioid addictions because you have to be uneducated to be exposed to drugs. But the truth of the matter is, opioids do not discriminate.

According to NIH, millions of people suffer from opioid use disorder throughout the United States. This epidemic has continued to spread and the numbers of people who are becoming addicted is on the rise so much that the total burden of cost is at 78.5 billion dollars per year for prescription opioid misuse, this includes the cost of addiction treatment, criminal justice services, and health care (NIH, 2017. https://www.drugabuse.gov/drugs-abuse/opioids/opioid-crisis) Unfortunately there does not seem to be an end to this epidemic anytime soon. The numbers are unremarkable; natural and semi-synthetic opioids peeked at 14,427, heroin at 15,446 and synthetic opioids other than methadone at 20,145. That is a total of 50,018 deaths for some type

Opioid pills flood the body with chemicals to give the user pleasure and pain relief (Triffin). To many, these drugs seem safer than other drugs. However, this is far from the truth. Right now, the opioid epidemic is the fastest growing drug problem (Volk). Teens’ young age makes them especially vulnerable to addiction. John F. Kelly, Ph.D, associate professor of psychiatry in addiction medicine at Harvard Medical School explains, “The brain is in a critical and vulnerable period of growth during adolescence.” Kelly added that “early exposure to drug misuse increases your risk of addiction by 5 to 10 times, independent of other factors” (Triffin). Simultaneously, studies show that when rewarded, teens’ brains have a strong reaction. This, combined with the impulsive nature of the teen brain means that teens are attracted to thrills. These weaknesses are manipulated by drugs, as observed in animal research. Young rats tend to work harder than adult rats to get drugs, which implies that the teen brain is more attracted to drugs. The thrill of taking a drug is pleasing to teens (Teen Brain Vulnerability Exposed). In fact, When someone takes a painkiller,

It has become relevant the bad effect of opioids and its hypersensitivity in the nervous system. A high dopamine, less serotonin had been seen in the biochemical pathways of the patients of a drug overdose. It hampers the entire biological, psychological response.CBS reported that Mothers after post pregnancy are addicted to opioids which lead to their second child to be abnormal. It not only destroy biologically but socially as well.

Opioids (including natural and synthetic) work by binding to opioid receptors in the CNS sending inaccurate signals to the brain about the intensity of pain being experienced, which results in a sedating feeling. Opioids affect how brain feels pleasure. In the event of consuming opioids while not experiencing pain, a person would experience elation, intense joy and comfort. Both aforementioned feelings act as positive reinforcement of opioids. The bodily response of using opioids weakens after a while of use, and the user starts to build up a tolerance. The continual usage of opioids changes how the brain works, where the brain learns to crave opioids when opioids are not available to maintain a ‘normal’ stable state. The CNS starts to send

Opioids are pain relievers that bind to opioid receptors on nerve cells throughout the body. They produce feelings of euphoria, tranquility and sedation. However, opioids are “considered the most harmful of all illicit drugs” (Amato et al., 2005, p.321).