This article might cause some to “bristle” and others to “scorn”. I have for a long time maintained that there is a difference between being dependent on medications and being addicted to them. However, in looking up the word “dependence”, I noticed that one of the synonyms listed is “addicted”. Well, that caused me to pause – but not for long. I still think there is a difference between the two. I touch on that more in the article. I must state again that I am not a doctor, nor am I a counsellor. I write from experience and observation.
I believe that if one is “dependent” on medication for a variety of LEGITIMATE reasons, that means that a trusted physician has decided that you need these meds to bolster your quality of life. This means following the instructions of said physician and/or pharmacist – and NOT taking more than prescribed. THAT’S the difference: sticking to the amount prescribed to you and not altering it any way without a physician’s advice. Once you start taking more meds than what you need, and you just can’t wait for the next dose, THAT’S what moves a person from dependence to addiction.
Now, the main thing I’m talking about is if one is suffering from chronic pain and has been prescribed pain killers. There is such controversy around opioids and their use that it has gotten to the point where you don’t even want to let ANYONE know you are taking them. Now, don’t get me wrong – I really do believe that there is an opioid crisis in this country (Canada) and in the U.S., and there is legitimate concern at the vast number of deaths that have been attributed to opioid use. BUT (yes, another “but”) if one uses these medications responsibly – even on a daily basis; if the amount you take is EXACTLY as prescribed to you; if you can wait for the next dose without climbing the walls; and, you don’t feel any kind of “withdrawal” between doses, I believe that yes, you may be dependent on these meds to increase your quality of life, but you AREN’T addicted to them. Yes, I know, that is a very fine line we’re talking about.
What do I mean by “addiction”? I believe you cross over that “fine line” if you start taking more meds than originally prescribed; if you find it impossible to wait for the next dose; if you find yourself taking more and more meds to get a certain “feeling”; if your body begins to react in a negative manner (withdrawal symptoms) before your next dose; these are all warning signs that point to you heading in a dangerous direction and entering the area of being addicted to your meds. And again, I do realize this is a very fine line. If you find yourself experiencing any one of these things, seek help IMMEDIATELY. The longer you stay crossed over the line, the harder it will be on you.
There is such a stigma attached to pain killers that the majority of people on them get “looked down upon” for using them. Why is that, I wonder. People always want to jump to the wrong conclusions, not realizing that people on meds would rather be gong in any other direction than the meds route. But, sadly, so many people DO need to be on them. If you are a person on meds for chronic pain, don’t let anyone look down on you. Be as strong as possible when being confronted for your “addiction” (as too many people will view it). If you have been on them for years but would rather try another route, then decrease the amount of meds you’re on WITH A PHYSICIAN’S HELP. NEVER try to do this alone. It can be done safely and in not so much of an uncomfortable way. Yes, it might take much longer than if you went “cold turkey”, but you will get it done. If you do want to go the “cold turkey” route, again, SEEK HELP. DO NOT DO THIS ALONE.
If you are someone that suffers from chronic pain, you know you would do almost anything to try and lessen that pain (that’s a separate article). It’s not fun being in pain 24/7. It drains you physically as well as emotionally. But, you MUST seek help for this. DO NOT try to medicate yourself. Find a trusted doctor that knows what he/she is talking about. Don’t stick with a doctor that just writes a prescription willy nilly and doesn’t care how fast you go through it (yeah, there are doctors like that, too). Find alternative measures if you can. Or seek these alternative measures in conjunction with taking the prescribed meds. There are some people that get relief from their pain without meds. To those people I say “well done”, you are very lucky to have found these alternatives. However, there is chronic pain that doesn’t lessen unless helped with meds. And there is nothing wrong with seeking help that way. Don’t let anyone tell you that you are less of a person for needing them. People don’t understand chronic pain unless they, themselves, have gone through it. So keep your head high; enjoy your life as best as you can; keep that smile on your face and keep a positive frame of mind. You, too, are a worthy person.
Stay safe, stay healthy, and stay strong.
Until next time,
Inge