Posted by Ilene on March 14, 2003, at 9:29:51
In reply to Re: Management of opioids/narcotics » Ilene, posted by Krissy P on March 14, 2003, at 2:04:19
> I understood that I have an addictive personality and Vicodin made me feel great-but it isn't to be used for emotional reasons. So, I just stopped it because I didn't want to get really hooked- I stopped it-no problems.
It's too bad that having an addictive personality doesn't mean "people find you addicting". I don't think there is such a thing, anyway. It sounds blaming to me, as if you had a "better personality" you wouldn't become addicted. I think it is the way your brain is wired. Purely physiological.
> I hear you about-IV dilaudid--ahhhh) oh my-I got that when I was in the ER a few times with horrible migraines.
There's a genetic connection between migraine and affective disorders.When I was very young my mother got morphine for her migraines. I completely forgot her wierd drug regime until now. She'd drink 7up w/ aspirin and drink coffee. She had suppositories made of caffeine, ergotamine, and phenobarbitol. (She barfed when she had headaches.) She must have been desperate to do that to herself.
> IMHO, the gov't still does jump on docs who overprescribe narcotics and threaten to take away their licenses. I know there are people who need long-term pain relief in order to function. For those who need these meds (your almost lost a leg example) may not have the tolerance that is or isn't universal.
There's a history of people who *needed* narcotics also becoming addicted. It's not whether the use is "legitimized" by being used as a painkiller. It's how the individual responds in some other way. I wonder how that works, whether it can be chemically acquired.I believe there are physicians who specialize in pain management. I was wondering if that kind of expertise could be directed at people who use narcotics as ADs, make them "legitimate" as psychiatric drugs.
--I.
poster:Ilene
thread:208884
URL: http://www.dr-bob.org/babble/20030314/msgs/209019.html