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Old 02-28-2012, 09:25 AM #1
ginnie ginnie is offline
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Default Hi saffy

I have issues with this as well. I have been weened down on morphine, with all the side effects you described. I am a pain patient. I don't quite know the difference between addiction and this situation either. I was told I would not become addicted because I don't over use it, and take according todirectins at all time. My dr. just increased medications as I really do have a joint that needs to be replaced, and I am afraid to take them, because after the surgery, I will be taken off them with the whole terrible experience. I am afaid to up medication even though my pain has gone way up. I am always afraid he will begin to ween me down again. I feel like I am on a roller coaster with this. I know I need the mediation, but scared to take it, not knowing what my doctor will do. So instead I am shopping for a wheel chair. It seems i really do not have a good option. My ability to walk is compromised all together if I do not take these medications. The doctor only gave me enough of this new one percocet until I get the surgery, which I don't want to begin with. I am stuck not knowing what I should do. I know I am venting here, I am just plain scared, and can't seem to make any decision at all. ginnie
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Old 03-12-2012, 09:29 AM #2
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Default

Quote:
Originally Posted by Saffy View Post
The funny thing is, I said I felt I had been addicted to it .. He said, when you have chronic pain there is no such thing as addiction, just dependency. I thought they sounded both the same ..
They are not.
Quote:
In 2001, the American Academy of Pain Medicine, the American Pain Society, and the American Society of Addiction Medicine jointly issued "Definitions Related to the Use of Opioids for the Treatment of Pain", which defined the following terms:[3]
Addiction is a primary, chronic, neurobiologic disease, with genetic, psychosocial, and environmental factors influencing its development and manifestations. It is characterized by behaviors that include one or more of the following: impaired control over drug use, compulsive use, continued use despite harm, and craving.

Physical dependence is a state of being that is manifested by a drug class specific withdrawal syndrome that can be produced by abrupt cessation, rapid dose reduction, decreasing blood level of the drug, and/or administration of an antagonist.

Tolerance is the body's physical adaptation to a drug: greater amounts of the drug are required over time to achieve the initial effect as the body "gets used to" and adapts to the intake.

Pseudo addiction is a term which has been used to describe patient behaviors that may occur when pain is undertreated. Patients with unrelieved pain may become focused on obtaining medications, may "clock watch," and may otherwise seem inappropriately "drug seeking." Even such behaviors as illicit drug use and deception can occur in the patient's efforts to obtain relief. Pseudoaddiction can be distinguished from true addiction in that the behaviors resolve when pain is effectively treated.
A definition of addiction proposed by professor Nils Bejerot:
An emotional fixation (sentiment) acquired through learning, which intermittently or continually expresses itself in purposeful, stereotyped behavior with the character and force of a natural drive, aiming at a specific pleasure or the avoidance of a specific discomfort.[4]
http://en.wikipedia.org/wiki/Substance_dependence
To say it more succinctly, pain patients don't want to take their meds - they have to for a medically therapeutic reason. Addicts want to take/abuse a drug for its effects without a medical reason, and can't wait for the next/higher dose.

Everyone must make their own decision whether to take/continue with a medication, but there are better/easier/safer ways of discontinuing dependence-producing meds. Our doctors can/will help us with this too, without going through that hell.

Doc
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All opinions expressed are my own. For medical advice/opinion, consult your doctor.
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