Opioid Addiction

Opioid addiction is a national health crisis but is at epidemic proportions in Ohio and Pennsylvania. The long-term abuse of opioids such as heroin, fentanyl, and pain pills can cause significant changes in the brain structure and function, leading to long-term addiction and possible death. Therefore, this chronic disease requires immediate and effective medical treatment.

Facts about Opioid Addiction

Roughly 2.4 million

people in the United States have a substance use disorder (SUD) related to prescription opioids.

Approximately 69,710

drug overdose deaths occurred in the United States, with opioids involved in nearly 70% of those cases in 2020.

3 different medications

have been approved by the U.S. Food and Drug Administration to treat opioid addiction.

Ohio

was one of the states with the highest opioid overdose death rates in 2020.

Nearly 2.4 million people in the United States have a substance use disorder (SUD) related to prescription opioids. Approximately half a million people have a SUD related to heroin and fentanyl. There has been a significant increase in hospitalizations for opioid misuse. As a result, the government has introduced new state-funded programs and legislation to prevent overdoses and improve treatment outcomes. The U.S. Food and Drug Administration has approved three different medications to treat opioid addiction: buprenorphine, methadone, and naltrexone. All three are collectively referred to as medication-assisted treatment (MAT). Research shows a combination of medication and therapy is often the most successful approach to treating opioid addiction.

Buprenorphine is used in medication-assisted treatment (MAT) to help people quit their use of illicit opioids. Approved for clinical use in October 2002 by the Food and Drug Administration (FDA), buprenorphine represents the latest advancement in medication-assisted treatment (MAT). Medications such as buprenorphine, combined with behavioral counseling, provide a comprehensive approach to treating opioid addiction. When taken as prescribed, buprenorphine is safe and effective.

Identifying Opioid Addiction

To determine whether you or someone you know may have an opioid addiction, consider the following questions:

  1. Have you been taking opioids in larger amounts or over a longer period of time than intended?
  2. Do you have a strong and persistent desire to quit the drug, and/or have you attempted to quit it, but have been unsuccessful?
  3. Do you spend a great deal of time and effort on activities necessary to obtain the opioid, use the opioid, or recover from its effects?
  4. Do you crave or have a strong desire to use opioids?
  5. Have you missed work and/or given up or reduced social or recreational activities you enjoy in favor of your use of the drug?
  6. Has opioid drug use resulted in failure to fulfill major role obligations at work, school or home?
  7. Do you continue to use opioid drugs despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of opioids?
  8. Important social, occupational or recreational activities are given up or reduced because of opioid use.
  9. Do you continue to use opioid drugs in physically hazardous situations?
  10. Do you notice you feel as if you need significantly more of an opioid to feel the same effects, or that the same amount no longer provides the relief or effect it once did?
  11. Do you continue to use opioid drugs despite having recurrent physical or psychological symptoms likely to have been caused or exacerbated by opioids?

Disclaimer: The results of this reflection are not intended to constitute a diagnosis of opioid addiction and should be used solely as a guide to understanding your drug use and the potential health issues involved with it. The information provided here cannot substitute for a full evaluation by a health professional.

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Resources For Those Struggling with Opioid Addiction

NATIONAL RESOURCES

OHIO RESOURCES

PENNSYLVANIA RESOURCES

Sources

  1. Center for Behavioral Health Statistics and Quality. (2014, September 4). Table 5.14A—Substance dependence for specific substances in the past year, by age group: Numbers in thousands, 2012 and 2013 [Table]. In Results from the 2013 National Survey on Drug Use and Health: Detailed tables. Retrieved from http://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabsPDFWHTML2013/Web/HTML/NSDUH-DetTabsSect5peTabs1to56-2013.htm#tab5.14a
  2. Coben, J. H., Davis, S. M., Furbee, P. M., Sikora, R. D., Tillotson, R. D., & Bossarte, R. M. (2010). Hospitalizations for poisoning by prescription opioids, sedatives, and tranquilizers. American Journal of Preventive Medicine, 38(5), 517–524.
  3. Owens, P. L., Barrett, M. L., Weiss, A. J., Washington, R. E., & Kronick, R. (2014). Hospital inpatient utilization related to opioid overuse among adults, 1993–2012 (Statistical Brief #177). Retrieved from http://www.hcup-us.ahrq.gov/reports/statbriefs/sb177-Hospitalizations-for-Opioid-Overuse.pdf
  4. Office of National Drug Control Policy. (2012). Medication-assisted therapy for opioid addiction.
  5. Fullerton, C. A., Kim, M., Thomas, C. P., Lyman, D. R., Montejano, L. B., Dougherty, R. H., & Delphin-Rittmon, M. E. (2014). Medication-assisted treatment with methadone: Assessing the evidence. Psychiatric Services, 65(2), 146–157. doi: 10.1176/appi.ps.201300235
  6. Liebschutz, J. M., Crooks, D., Herman, D., Anderson, B., Tsui, J., Meshesha, L. Z., & Stein, M. (2014). Buprenorphine treatment for hospitalized, opioid-dependent patients: A randomized clinical trial. JAMA Internal Medicine, 174(8), 1369–1376.
  7. National Survey on Drug Use and Health, 2019
  8. Centers for Disease Control and Prevention, 2021