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Narcotic Abuse

WHAT YOU SHOULD KNOW

Some narcotics, such as morphine and codeine, are routinely prescribed for severe pain. However, they have to be used with caution. If you take them steadily for several weeks, or take larger doses than prescribed, you can easily become addicted. Narcotic addicts constantly crave the drug and become physically ill if they stop taking it. The drug becomes the focus of their life, as they spend more and more of their time and money assuring a supply. Using narcotics--particularly injecting heroin or morphine--puts your life in danger. Addicts are liable to develop infections; suffer serious problems with the lungs, liver, and brain; or die from an overdose. Injecting narcotics with dirty needles also can give you AIDS. A narcotics habit is hard to kick, but there are medical treatments that will help.

Causes

Taking a narcotic drug regularly for several weeks, or taking large doses, almost always leads to addiction. Pregnant women who take these drugs can pass the addiction to their babies.

Signs/Symptoms

The initial ""high'' from the drug is followed by drowsiness and a slowdown in your breathing and heartbeat. Your skin may become red, warm, or itchy. The longer you keep taking the drug, the more you will need it. When you stop using it (go through withdrawal), you will go through a short period of physical illness. The first signs of withdrawal are fast breathing, sweating, yawning, and runny nose. You may also shake and develop goose bumps on your skin, mood changes, and enlarged pupils. After 2 to 3 days, you may suffer insomnia, upset stomach, vomiting, diarrhea, stomach cramps, muscle pain, and a fast heart rate.

Care

To wean you from the drug, your doctor may prescribe another type of narcotic and slowly reduce the dose. You may need other drugs for a short time to help with the withdrawal symptoms. Joining a support group or getting counseling may help you stop taking the drug. Some people need to attend a special program for narcotic addicts.

WHAT YOU SHOULD DO

  • If prescribed a narcotic medicine, be careful to follow your doctor's instructions. Do not increase the dose or take the drug any longer than absolutely necessary.
  • Don't even experiment with ""recreational'' narcotics. Stay away from people who use drugs and who encourage others to use them.
  • The first step to quitting is to admit you have a problem. Be honest and open with family and close friends. Ask for their help.
  • Don't try to stop taking the drug all at once. You will need medical help to get you through a gradual withdrawal period.
  • Tell your doctor exactly how much of the drug you have been taking. Also tell your doctor if you are taking any other medications. Don't hesitate to be honest. Doctors are familiar with the problem.
  • Support-group meetings and counseling can help you quit. Take advantage of both.
  • Eat a healthy diet, drink 6 to 8 glasses of water a day, and get plenty of rest.
  • Don't smoke or drink coffee or alcohol. They can make you nervous and increase your withdrawal symptoms.
  • Don't dwell on the problem. Find new things to do. Get out of the house every day. Go for walks outside.

Call Your Doctor If...

  • You cannot fight the need to take more drugs. Call your doctor, a counselor, friend, or family member you trust RIGHT AWAY.
  • You feel like your problems are getting the best of you and you can't deal with them on your own.

Seek Care Immediately If...

  • You have chest pain, sweating, or trouble breathing.
  • You get a severe headache; develop bad stomach pain; or notice pain, a numb or prickly feeling, or burning in your arms or legs.

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