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June 22, 2005

Addendum

A quick addendum to the previous article:

I am intimately familiar with addiction. Not only have I watched friends struggle with heroin and painkiller addictions, but I have watched family members become alcoholics.

Most painful of all was watching my father rapidly become addicted to morphine and demerol while he was dying of cancer. Being a child and watching one's father go through that kind of thing, knowing that he hated it but needed it at the same time...And in the end, knowing that it was the only thing keeping him lucid at times...There's nothing quite so difficult. It gives me a not-so-unique view of addiction.

Posted by Kat at June 22, 2005 10:28 PM

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Comments

Another quick myth to dispell: Assuming your father was taking morphine to alleviate pain or discomfort, he was not addicted. You are probably referring to a tolerance resulting in the need for higher and higher doses of the drug to be effective.

If he was not in any pain nor discomfort and using covert or deceptive methods to get morphine or demerol to get a high, that's a sign of "addiction".

Posted by: Kelly at June 22, 2005 11:10 PM

Yes, you're right. But it has been shown that terminal patients do get addicted. There was a point where the morphine didn't do anything for the pain, but he kept taking it.

Also, I've heard that painkillers and pain tend to cancel each other out. While it is possible to be in chronic pain and be addicted to painkillers, it doesn't often happen.

Posted by: Kat [TypeKey Profile Page] at June 22, 2005 11:47 PM

There are plenty of people with chronic pain that drug-seek, as in, maybe they just need a Tylenol, but doctor-shop for Percocet instead. Yes, there's pain, but they intentionally exaggerate the pain to get pills they don't really need. Happens all the time.

Posted by: Kelly at June 23, 2005 06:57 AM

I guess my definition of addiction is slightly different. I'm used to thinking of it as a physical or psychological dependance on a drug. I don't consider resistance to be a part of addiction, since resistance happens whenever a drug is used often.

I assume drug-seeking isn't necessarily found in terminal patients, since they generally have the drugs available to them on a consistant basis. Ditto for patients with chronic injuries. I could probably have all the narcotics I want available, based on just the injuries in my left leg. I choose not to.

That's where the difference comes in - what is the choice made by the subject?

Posted by: Kat [TypeKey Profile Page] at June 23, 2005 12:01 PM

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