Back Pain: Medication and Addiction
There are risks involved with prescription drug addiction, specifically narcotic painkillers. In most cases, the benefits of these medications outweigh the risks.
What Increases the Risk of Abuse? continued...
Although certain opioid drugs are often viewed as more
addictive than others, there's very little evidence one way or another, Zacny
says. Still, many think that the narcotics that don't last very long -- such as
quick-release oxycodone or Vicodin -- may pose a somewhat higher risk of
causing addiction. For opiods that last only a few hours, the pain will return.
Over time, repeated medication can lead to a tolerance to these drugs. When
tolerance develops, higher doses will be needed to get the same effective pain
The risks of prescription drug addiction also depend on how you
react to the drug. People who become addicted to prescription painkillers
clearly experience a high, but most people find that the drug makes them feel
unwell or nauseated. Other frequent side effects include mild dizziness,
sedation, and confusion. According to some of Zacny's research, the majority of
people who try the drug don't like the effects and would rather not take it
again. So the risks of addiction may be higher in those who, for physiological
reasons not understood, have a more positive reaction to the drug's
Miotto says she worries less about people who are simply taking
too much of the painkiller than those who use the painkiller along with other
drugs, such as sleeping pills or muscle relaxants. "It's the people who are
mixing drugs that I find are often at highest risk of problematic use and side
effects," she tells WebMD.
There's also a widely held belief that people who are in pain
are less likely to experience euphoric effects from a drug. The idea is that
the medication is targeted -- it "goes to the pain" only and doesn't
cause other euphoric effects, meaning that people with real pain are less
likely to become addicted than people who don't.
"That's lore, sad to say," Zacny says. "It may very
well be true, but it hasn't been really established. There's just a lot we