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To all Forum Participants

Dear Forum Participants:

Please understand that this Forum was not created to replace urgent medical care. We are here to help with questions you may have concerning a specific condition or problem.

Please do not let this Forum become a place to argue with others. We all understand it can be frustrating to wait to get answers, however, as this is a free service, sometimes the physicians have other priorities.

We *DO* however, periodically monitor postings and we REMOVE those postings that are not constructive and are offensive. For those that abuse this forum which is a free service, we will remove your posting and subsequent abuse will lead to your being banned from all future posting.

Regards,
Med Help International
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Avatar universal
hello to all. i have spent much time of late researching the internet regarding my current situation and story and having had a look in here feel this is a good forum to share my story.

since 1995 i had sufferred from chronic pain relating to tension type headaches. they were tested and no organic problem existed but i was told they were of a purely physiological nature. however this to me was of little assistance as all i knew was that i was experiencing the most intense pain and could not fucnction in day to day society.

there are two stories here but i will stick to the one regarding my narcotic use and subsequent addiction over a five year period.

  in 1995 my g.p started me on codeine over the five year period i went from 2 a day of 30mg doses to about 12 tablets a day. on top of this after the codeine lost its effect as tolerance built up rapidly within my system was introduced dextropropoxyphene and doloxene  my use went the same way as the codeine first 2 tabs then upto as many as 12 a day to sustain myself.

however over a period of time my tolerance to these mild forms of narcotica grew so my g.p introduced pethedine about 2 shots a week at first both of 100 milligrams, but i had very adverse reactions so my g.p turned to morphine. fisrt i was on three shots a week of about 60-100 milligrams of morphine then my g.p introduced me to ms-contin which here in australia is a slow released form of morphine sulphate. i began on 30mg tabs but went as high as 100mg to sustain my every day ability to function normally.

how did i know if i was still sufferring from the pain? as each day, day in day out i would take what i thought to be the magic potion to alleviate my pain which i must acknowledge it did do but also brought about certain states of what i call 'my highs'.

my first experience of drug withdrawal occurred when i spent 7 months overseas going only with a certain amount of ms-contin, doloxene and codeine, when it all dried up i experienced the most painful moments of my life. the chills convulsions sweating like a pig crying like a baby and aches and pains in my muscles plus the inability to sleep.

however the stragest thing to this day was that nobody ever spoke to me of withdrawal so at the time of this i thought it was jet-lag having flown from germany to ny and thought it was to do with this silly me.


anyway arriving back in australia slightly 'clean' once again commenced my narcotic use, it was back to morphine shots about twice a week and loads od codeine and doloxene.

see my g.p new that to send me to any specialist meant they would immediately dis-continue my narcotics as here in australia unless you have either organic problems medically like a tumour or a genuine 'medical' condition, no specialist eg a neurologist will prescribe narcotics for fear of addiction.


anyway to continue the story my g.p could no longer supply me the m.s-contin as the government had written to him banning me from it stating if i was to continue its use then i would have to be identified as a 'drug addict' but more importantly would have to go to a neurologist to get special prescriptions and permission to use the m.s-contin.


however about this time a new drug came on the market here in australia called oxy-contin, a slow releasing form of oxycodone hydrochloride another synthetic opiod. i had used oxycodone in its normal fast release version but the pain returned very quickley after say two hours.


firstly my g.p started me on 20milligrams a day of the oxy-contin but gradually over a year period it had to be increased slowly to a dose of 160 milligrams a day to have any actual affect of stopping the pain and over a lengthy period of time like 80mg's would give me say 6 or 7 hours of release then the next 80mg's to continue pain relief.


see the thing i did not realise at the time was that i had become a 'drug addict' but because it was all through the 'legal system' i never thought of it in this way, however the reality was that i could not function from day to day without my oxy-contin and other narcotics including more codeine and doloxene. i think an average daily consumption of narcotics for me included the 160 milligrams of oxy-contin, codeine maybe 7 30mg tabs and at least 4 doloxene 60 mg tabs a day. this average consumption of narcotic use was certainly over a one year period if not more time however i can not remember exactly the duration of this concoction of my narcitoc use.


anyway i went overseas once more to mexico to visit my fiance. my g.p gave me a certain amount of oxy-contin as the greatest mg you can get here in australia of oxys is 80mg's so i had a cetain amount enough i thought to sustain me for my planned 6 week visit to there. as well he gave me plenty of codeine, and plenty of doloxene.


anyway to cut along story short i was robbed and there began my greatest nightmare a complete withdrawal in a country 'mexico' where there is absolutely no legal use of any narcotics been
morphine pethedine etc. the mere mention of there names is a sin there. i think i was going to kill myself the withdrawal was both mentally physically and physiologically the most painful moments in my life. funnily enough even more painful than the headaches themselves.

chills sweating like a pig inability to sleep a wink for five consecutive nights aching muscles tears like a baby this was seven of the most excruciatinlgly painful days of my life.


anyway i organised an early flight home to oz and straight away my g.p gave me a shot of morphine and mogadon a sleeping pill. within the next 12 day period i had been given 4 shots of morphine and two of which were pethedine as my g.p ran out of morphine shots.

this is where things got messy, you see i had very negative and adverse affects and responses to the pethedine of which i had been given 200 milligrams over a two day period.

i started crying and feeling depressed very intensely and my body ached even on the peth it relieved my pain slightly but the rebound affect after about 4 hours or so gave me even more intense headaches.


this was the time i started to realise something was really wrong, 'maybe i was a drug addict' which to me only meant that i could not sustain my day to day life without narcotic usage for me'. i would also like to debuff all the stigma attached to been recognised by the medical profession, and more so society in general as been regarded as a drug addict'. the only thing drug addict means to me is that you are unable to function without your narcotics and this is all.


anyway back to the story, this is about the time i came clean to my mother about my long period narcotic use, i mean my parents had an idea as did others about mynarcotic use but they all had no idea as to what level it was at, and how much i was consuming of my narcotics.


i was going through withdrawal again and this time it was a complete withdrawal. no codeiene even to pep me up. mum took me to see someone but only after i tried suiciding as the pain was too much, anyway only ended up unconscious. we went to a specialist who said 'yes this is drug withdrawal syndrome' and prescribed me with alot of valium to try and counter-act the physical side affects of the addiction and withdrawal.


again 7 of the worst and most painful days of my life.


anyway i am proud to say even though it has been a very short time of only three weeks i have had no narcotics not a single one. i am seeing a physiotherapist for my head problems of which by the way i have now been told do and have always had a physical component. i have spasms in my muscles in my upper shoulders and severe spasm in my neck which was thus causing my headaches, and just to mention now 5 years earlier i tried all medicines both western and eastern like anti-inflammatories yoga meditation, massage, physi chiropractors etc but nothing worked back then.


this physio is excellent and really making a difference. as well i am on a very new anti-inflammatory medication which seems to helping immensely but the most important factor is that i have begun swimming which the physio says is the best thing to help this problem and even though i have to wear a snorkle and a mask looking quite dorky who cares as it is helping me.


i must admit i do take a little paracetamol and asprin but this is all.


all this time i had been living a lie. a false reality. i was in genuine pain but chose and was put more importantly along the wrong path.


yes narcotics have a very important place in society but lets not fool ourselves. anybody who is needing daily doses of narcotis to function and to sustain themselves including increasing doses is in my eyes a 'drug addict' as they can not and will not function without there daily dose for sustination.


i am not arguing with anyone nor am i an expert but what i do know now is i am a very different one to the andrew who lived 5 years of his life addicted and unable to function day to day without narcotics.


the physical withdrawals may be over but physiologically it is going to take time and alot for my neuro-transmitters to return to 'a normal state' like before the narcotic commencement'. however if this means sleeping problems for a while well i can cope with this.


i wish to everyone who has or is sufferring from pain all the best in there quests to over-come there pain problems and totally understand pain and pain management through narcotic usage.
Helpful - 0
Avatar universal
hello to all. i have spent much time of late researching the internet regarding my current situation and story and having had a look in here feel this is a good forum to share my story.

since 1995 i had sufferred from chronic pain relating to tension type headaches. they were tested and no organic problem existed but i was told they were of a purely physiological nature. however this to me was of little assistance as all i knew was that i was experiencing the most intense pain and could not fucnction in day to day society.

there are two stories here but i will stick to the one regarding my narcotic use and subsequent addiction over a five year period.

  in 1995 my g.p started me on codeine over the five year period i went from 2 a day of 30mg doses to about 12 tablets a day. on top of this after the codeine lost its effect as tolerance built up rapidly within my system was introduced dextropropoxyphene and doloxene  my use went the same way as the codeine first 2 tabs then upto as many as 12 a day to sustain myself.

however over a period of time my tolerance to these mild forms of narcotica grew so my g.p introduced pethedine about 2 shots a week at first both of 100 milligrams, but i had very adverse reactions so my g.p turned to morphine. fisrt i was on three shots a week of about 60-100 milligrams of morphine then my g.p introduced me to ms-contin which here in australia is a slow released form of morphine sulphate. i began on 30mg tabs but went as high as 100mg to sustain my every day ability to function normally.

how did i know if i was still sufferring from the pain? as each day, day in day out i would take what i thought to be the magic potion to alleviate my pain which i must acknowledge it did do but also brought about certain states of what i call 'my highs'.

my first experience of drug withdrawal occurred when i spent 7 months overseas going only with a certain amount of ms-contin, doloxene and codeine, when it all dried up i experienced the most painful moments of my life. the chills convulsions sweating like a pig crying like a baby and aches and pains in my muscles plus the inability to sleep.

however the stragest thing to this day was that nobody ever spoke to me of withdrawal so at the time of this i thought it was jet-lag having flown from germany to ny and thought it was to do with this silly me.


anyway arriving back in australia slightly 'clean' once again commenced my narcotic use, it was back to morphine shots about twice a week and loads od codeine and doloxene.

see my g.p new that to send me to any specialist meant they would immediately dis-continue my narcotics as here in australia unless you have either organic problems medically like a tumour or a genuine 'medical' condition, no specialist eg a neurologist will prescribe narcotics for fear of addiction.


anyway to continue the story my g.p could no longer supply me the m.s-contin as the government had written to him banning me from it stating if i was to continue its use then i would have to be identified as a 'drug addict' but more importantly would have to go to a neurologist to get special prescriptions and permission to use the m.s-contin.


however about this time a new drug came on the market here in australia called oxy-contin, a slow releasing form of oxycodone hydrochloride another synthetic opiod. i had used oxycodone in its normal fast release version but the pain returned very quickley after say two hours.


firstly my g.p started me on 20milligrams a day of the oxy-contin but gradually over a year period it had to be increased slowly to a dose of 160 milligrams a day to have any actual affect of stopping the pain and over a lengthy period of time like 80mg's would give me say 6 or 7 hours of release then the next 80mg's to continue pain relief.


see the thing i did not realise at the time was that i had become a 'drug addict' but because it was all through the 'legal system' i never thought of it in this way, however the reality was that i could not function from day to day without my oxy-contin and other narcotics including more codeine and doloxene. i think an average daily consumption of narcotics for me included the 160 milligrams of oxy-contin, codeine maybe 7 30mg tabs and at least 4 doloxene 60 mg tabs a day. this average consumption of narcotic use was certainly over a one year period if not more time however i can not remember exactly the duration of this concoction of my narcitoc use.


anyway i went overseas once more to mexico to visit my fiance. my g.p gave me a certain amount of oxy-contin as the greatest mg you can get here in australia of oxys is 80mg's so i had a cetain amount enough i thought to sustain me for my planned 6 week visit to there. as well he gave me plenty of codeine, and plenty of doloxene.


anyway to cut along story short i was robbed and there began my greatest nightmare a complete withdrawal in a country 'mexico' where there is absolutely no legal use of any narcotics been
morphine pethedine etc. the mere mention of there names is a sin there. i think i was going to kill myself the withdrawal was both mentally physically and physiologically the most painful moments in my life. funnily enough even more painful than the headaches themselves.

chills sweating like a pig inability to sleep a wink for five consecutive nights aching muscles tears like a baby this was seven of the most excruciatinlgly painful days of my life.


anyway i organised an early flight home to oz and straight away my g.p gave me a shot of morphine and mogadon a sleeping pill. within the next 12 day period i had been given 4 shots of morphine and two of which were pethedine as my g.p ran out of morphine shots.

this is where things got messy, you see i had very negative and adverse affects and responses to the pethedine of which i had been given 200 milligrams over a two day period.

i started crying and feeling depressed very intensely and my body ached even on the peth it relieved my pain slightly but the rebound affect after about 4 hours or so gave me even more intense headaches.


this was the time i started to realise something was really wrong, 'maybe i was a drug addict' which to me only meant that i could not sustain my day to day life without narcotic usage for me'. i would also like to debuff all the stigma attached to been recognised by the medical profession, and more so society in general as been regarded as a drug addict'. the only thing drug addict means to me is that you are unable to function without your narcotics and this is all.


anyway back to the story, this is about the time i came clean to my mother about my long period narcotic use, i mean my parents had an idea as did others about mynarcotic use but they all had no idea as to what level it was at, and how much i was consuming of my narcotics.


i was going through withdrawal again and this time it was a complete withdrawal. no codeiene even to pep me up. mum took me to see someone but only after i tried suiciding as the pain was too much, anyway only ended up unconscious. we went to a specialist who said 'yes this is drug withdrawal syndrome' and prescribed me with alot of valium to try and counter-act the physical side affects of the addiction and withdrawal.


again 7 of the worst and most painful days of my life.


anyway i am proud to say even though it has been a very short time of only three weeks i have had no narcotics not a single one. i am seeing a physiotherapist for my head problems of which by the way i have now been told do and have always had a physical component. i have spasms in my muscles in my upper shoulders and severe spasm in my neck which was thus causing my headaches, and just to mention now 5 years earlier i tried all medicines both western and eastern like anti-inflammatories yoga meditation, massage, physi chiropractors etc but nothing worked back then.


this physio is excellent and really making a difference. as well i am on a very new anti-inflammatory medication which seems to helping immensely but the most important factor is that i have begun swimming which the physio says is the best thing to help this problem and even though i have to wear a snorkle and a mask looking quite dorky who cares as it is helping me.


i must admit i do take a little paracetamol and asprin but this is all.


all this time i had been living a lie. a false reality. i was in genuine pain but chose and was put more importantly along the wrong path.


yes narcotics have a very important place in society but lets not fool ourselves. anybody who is needing daily doses of narcotis to function and to sustain themselves including increasing doses is in my eyes a 'drug addict' as they can not and will not function without there daily dose for sustination.


i am not arguing with anyone nor am i an expert but what i do know now is i am a very different one to the andrew who lived 5 years of his life addicted and unable to function day to day without narcotics.


the physical withdrawals may be over but physiologically it is going to take time and alot for my neuro-transmitters to return to 'a normal state' like before the narcotic commencement'. however if this means sleeping problems for a while well i can cope with this.


i wish to everyone who has or is sufferring from pain all the best in there quests to over-come there pain problems and totally understand pain and pain management through narcotic usage.
Helpful - 0
Avatar universal
hello to all. i have spent much time of late researching the internet regarding my current situation and story and having had a look in here feel this is a good forum to share my story.

since 1995 i had sufferred from chronic pain relating to tension type headaches. they were tested and no organic problem existed but i was told they were of a purely physiological nature. however this to me was of little assistance as all i knew was that i was experiencing the most intense pain and could not fucnction in day to day society.

there are two stories here but i will stick to the one regarding my narcotic use and subsequent addiction over a five year period.

  in 1995 my g.p started me on codeine over the five year period i went from 2 a day of 30mg doses to about 12 tablets a day. on top of this after the codeine lost its effect as tolerance built up rapidly within my system was introduced dextropropoxyphene and doloxene  my use went the same way as the codeine first 2 tabs then upto as many as 12 a day to sustain myself.

however over a period of time my tolerance to these mild forms of narcotica grew so my g.p introduced pethedine about 2 shots a week at first both of 100 milligrams, but i had very adverse reactions so my g.p turned to morphine. fisrt i was on three shots a week of about 60-100 milligrams of morphine then my g.p introduced me to ms-contin which here in australia is a slow released form of morphine sulphate. i began on 30mg tabs but went as high as 100mg to sustain my every day ability to function normally.

how did i know if i was still sufferring from the pain? as each day, day in day out i would take what i thought to be the magic potion to alleviate my pain which i must acknowledge it did do but also brought about certain states of what i call 'my highs'.

my first experience of drug withdrawal occurred when i spent 7 months overseas going only with a certain amount of ms-contin, doloxene and codeine, when it all dried up i experienced the most painful moments of my life. the chills convulsions sweating like a pig crying like a baby and aches and pains in my muscles plus the inability to sleep.

however the stragest thing to this day was that nobody ever spoke to me of withdrawal so at the time of this i thought it was jet-lag having flown from germany to ny and thought it was to do with this silly me.


anyway arriving back in australia slightly 'clean' once again commenced my narcotic use, it was back to morphine shots about twice a week and loads od codeine and doloxene.

see my g.p new that to send me to any specialist meant they would immediately dis-continue my narcotics as here in australia unless you have either organic problems medically like a tumour or a genuine 'medical' condition, no specialist eg a neurologist will prescribe narcotics for fear of addiction.


anyway to continue the story my g.p could no longer supply me the m.s-contin as the government had written to him banning me from it stating if i was to continue its use then i would have to be identified as a 'drug addict' but more importantly would have to go to a neurologist to get special prescriptions and permission to use the m.s-contin.


however about this time a new drug came on the market here in australia called oxy-contin, a slow releasing form of oxycodone hydrochloride another synthetic opiod. i had used oxycodone in its normal fast release version but the pain returned very quickley after say two hours.


firstly my g.p started me on 20milligrams a day of the oxy-contin but gradually over a year period it had to be increased slowly to a dose of 160 milligrams a day to have any actual affect of stopping the pain and over a lengthy period of time like 80mg's would give me say 6 or 7 hours of release then the next 80mg's to continue pain relief.


see the thing i did not realise at the time was that i had become a 'drug addict' but because it was all through the 'legal system' i never thought of it in this way, however the reality was that i could not function from day to day without my oxy-contin and other narcotics including more codeine and doloxene. i think an average daily consumption of narcotics for me included the 160 milligrams of oxy-contin, codeine maybe 7 30mg tabs and at least 4 doloxene 60 mg tabs a day. this average consumption of narcotic use was certainly over a one year period if not more time however i can not remember exactly the duration of this concoction of my narcitoc use.


anyway i went overseas once more to mexico to visit my fiance. my g.p gave me a certain amount of oxy-contin as the greatest mg you can get here in australia of oxys is 80mg's so i had a cetain amount enough i thought to sustain me for my planned 6 week visit to there. as well he gave me plenty of codeine, and plenty of doloxene.


anyway to cut along story short i was robbed and there began my greatest nightmare a complete withdrawal in a country 'mexico' where there is absolutely no legal use of any narcotics been
morphine pethedine etc. the mere mention of there names is a sin there. i think i was going to kill myself the withdrawal was both mentally physically and physiologically the most painful moments in my life. funnily enough even more painful than the headaches themselves.

chills sweating like a pig inability to sleep a wink for five consecutive nights aching muscles tears like a baby this was seven of the most excruciatinlgly painful days of my life.


anyway i organised an early flight home to oz and straight away my g.p gave me a shot of morphine and mogadon a sleeping pill. within the next 12 day period i had been given 4 shots of morphine and two of which were pethedine as my g.p ran out of morphine shots.

this is where things got messy, you see i had very negative and adverse affects and responses to the pethedine of which i had been given 200 milligrams over a two day period.

i started crying and feeling depressed very intensely and my body ached even on the peth it relieved my pain slightly but the rebound affect after about 4 hours or so gave me even more intense headaches.


this was the time i started to realise something was really wrong, 'maybe i was a drug addict' which to me only meant that i could not sustain my day to day life without narcotic usage for me'. i would also like to debuff all the stigma attached to been recognised by the medical profession, and more so society in general as been regarded as a drug addict'. the only thing drug addict means to me is that you are unable to function without your narcotics and this is all.


anyway back to the story, this is about the time i came clean to my mother about my long period narcotic use, i mean my parents had an idea as did others about mynarcotic use but they all had no idea as to what level it was at, and how much i was consuming of my narcotics.


i was going through withdrawal again and this time it was a complete withdrawal. no codeiene even to pep me up. mum took me to see someone but only after i tried suiciding as the pain was too much, anyway only ended up unconscious. we went to a specialist who said 'yes this is drug withdrawal syndrome' and prescribed me with alot of valium to try and counter-act the physical side affects of the addiction and withdrawal.


again 7 of the worst and most painful days of my life.


anyway i am proud to say even though it has been a very short time of only three weeks i have had no narcotics not a single one. i am seeing a physiotherapist for my head problems of which by the way i have now been told do and have always had a physical component. i have spasms in my muscles in my upper shoulders and severe spasm in my neck which was thus causing my headaches, and just to mention now 5 years earlier i tried all medicines both western and eastern like anti-inflammatories yoga meditation, massage, physi chiropractors etc but nothing worked back then.


this physio is excellent and really making a difference. as well i am on a very new anti-inflammatory medication which seems to helping immensely but the most important factor is that i have begun swimming which the physio says is the best thing to help this problem and even though i have to wear a snorkle and a mask looking quite dorky who cares as it is helping me.


i must admit i do take a little paracetamol and asprin but this is all.


all this time i had been living a lie. a false reality. i was in genuine pain but chose and was put more importantly along the wrong path.


yes narcotics have a very important place in society but lets not fool ourselves. anybody who is needing daily doses of narcotis to function and to sustain themselves including increasing doses is in my eyes a 'drug addict' as they can not and will not function without there daily dose for sustination.


i am not arguing with anyone nor am i an expert but what i do know now is i am a very different one to the andrew who lived 5 years of his life addicted and unable to function day to day without narcotics.


the physical withdrawals may be over but physiologically it is going to take time and alot for my neuro-transmitters to return to 'a normal state' like before the narcotic commencement'. however if this means sleeping problems for a while well i can cope with this.


i wish to everyone who has or is sufferring from pain all the best in there quests to over-come there pain problems and totally understand pain and pain management through narcotic usage.
Helpful - 0
Avatar universal
This forum has saved my butt more than a few times.  Every time I get the urge to use I bring up this forum and just read a few of the posts.  It brings me back to a more rational way of thinking!  We all think that we can do just one for old time's sake but ask any alcoholic about just one drink.  You get right back into the fire again and nothing has changed.  Thanks for all the good you do for us!  Please, no more recipes on how the extract codiene from Tylenol 4's.  There are other websites for that kind of information.  

John
Helpful - 0
Avatar universal
bob
Thank you medhelp I also have found great comfort in this forum.
Helpful - 0
Avatar universal
Your comments and the article you cited are very interesting. I posted a question here several days ago asking what are "TIQ's". I have come to this forum today and see that all the questions are answered by the doctor and my question has disappeared from the board !! It was there this morning before I left for work. I am very unhappy about this. Here is my question again. I recently attended an informational program at the treatment center where my daughter is. The presenter was using a black board and was teaching about addiction. One of the topics she mentioned was something about TIQ's which somehow I did not fully understand. Basically what I understood was that when pain was present that some chemical with a long name and shortened to TIQ was present and that when this TIQ is present that narcotics attach to it and the person does not experience pleasure but rather pain relief. As the TIQ levels taper off as pain subsides then the possibility of addiction arises if the narcotics continue. This of course is a rough brief because somehow the topic branched off and I felt lost. I have heard of this before and I am wondering if you or anyone ( maybe our other Brian who posts here :-) ) can explain this to me. Maybe this is some of the information that fuels Dr. Gorback's article. I am simply trying to get information because sometimes addicts in recovery need pain relief and are in danger of relapse. And your information above makes some sense although there may be much more about addiction as it relates to pain. In the meantime I will contact the webmaster and ask why such an appropriate question would be removed from the board here. Comments please.
Helpful - 0
Avatar universal
this is just another form of infringement of our constitutional rights guaranteed by the Constitution itself, please read the fourth amendment of the Constitution or let's back up and start with No. 1.  Does anybody want to give up these rights?  I may have been in an addiction forum but I cannot find any answers in
any of the other forms and yes addiction and chronic pain are two totally different forums. Article by  Gorbback.  The majority of people who take narcotics for pain do not become addicts.  Although tolerance the requirement for bigger doses and dependence the development of withdrawal symptoms after sudden discontinuation are associated with addiction, they do not represent true addiction by themselves.  Addiction is a condition in which people make obtaining and using the drug the centerpiece of their existence.  The use of the drug is an end in itself.  Drug addicts withdraw and become less functional when they take drugs.  In contrast, chronic pain patients become more functional when they take their drugs, and are able to join in basic social activities frequently denied them by their pain.  It is well established that chronic pain sufferers develop tolerance and dependence while on narcotics, but these are expected side effects--not signs of addiction--and are not considered indications for discontinuing the drug.  Tragically, tolerance and dependence are often mistaken for addiction, and the drugs are abruptly stopped.  It is well known that pain patients sometimes take their own lives when their medications are discontinued.  I have come to call this "Algocide"--suicide driven by pain.  Better understanding of true addiction as opposed to the commonplace occurrence of tolerance and dependence, would help alleviate the daily suffering of millions of people and prevent many deaths per year because of Algocide.  This article was written by a doctor in Houston TX and was given permission to repeat this article.  His name is Dr. Michael S. Gorback.
Helpful - 0
Avatar universal

Yes, I also thank you Medhelp and all Doctors taking their time to answer questions on this forum, many questions of which are difficult to answer over the internet and questions that are not clear and concise.

This forum is a great public service. Thank you again Medhelp for bringing it to us.
Helpful - 0
Avatar universal
Thank you medhelp for the services you provide via this forum.
Helpful - 0
Avatar universal
Thank you.  This was certainly necessary in light of some of the negative and abusive postings.  I appreciate physicians and the medical community; I can only imagine the frustration you have in dealing with an unappreciative clientele.  Keep up the good work!
Helpful - 0
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