Commonly Asked Questions about Addiction and Treatment
What are the effects of fentanyl?
Pain relief: Fentanyl's primary medical use is for pain relief, as it binds to opioid receptors in the brain and spinal cord to reduce the perception of pain and increase pain tolerance.
Euphoria: Like other opioids, fentanyl can produce feelings of euphoria by increasing the release of neurotransmitters such as dopamine in the brain, which can contribute to its potential for abuse and addiction.
Sedation: Fentanyl can cause drowsiness, sedation, and a general feeling of relaxation. In medical settings, this effect is often desirable, but it can be dangerous if the drug is taken recreationally or without proper supervision.
Respiratory depression: One of the most severe side effects of fentanyl is respiratory depression, which is a slowing of the breathing rate. This can lead to a lack of oxygen, resulting in brain damage, coma, or death, especially if taken in high doses or combined with other substances that suppress breathing.
Nausea and vomiting: Fentanyl can cause gastrointestinal side effects, such as nausea and vomiting, which are common among opioid users.
Constipation: Opioids like fentanyl can slow down the movement of food through the digestive tract, resulting in constipation.
Itching: Fentanyl and other opioids can cause histamine release, leading to itching or skin irritation in some users.
Dependence and addiction: Due to its potency, fentanyl has a high potential for dependence and addiction. Prolonged use can lead to physical dependence, withdrawal symptoms, and psychological addiction, making it challenging to stop using the drug.
Overdose: Fentanyl's potency increases the risk of overdose, which can be life-threatening. Symptoms of fentanyl overdose include extreme drowsiness, difficulty breathing, slow heart rate, low blood pressure, and unconsciousness. Naloxone, an opioid antagonist, can be administered to reverse the effects of a fentanyl overdose, but multiple doses may be required due to fentanyl's potency.
Why do drug abusers live in denial?
"Denial is a common characteristic of many people struggling with substance abuse. It involves refusing to accept the reality of their addiction and its damaging consequences. There are several reasons why this denial occurs:
Fear: Admitting a problem means confronting the reality of addiction, including the perceived pain of withdrawal, the work of recovery, and potential stigma. Fear of these challenges can drive a person to deny their problem.
Guilt and Shame: Addiction often brings feelings of guilt and shame. Denial serves as a defense mechanism to avoid these difficult emotions.
Cognitive Impairment: Substance abuse can physically alter brain function, impairing judgment, memory, and self-awareness, making it harder for individuals to recognize or admit they have a problem.
Perception of Normality: If substance use is a daily occurrence, it can seem normal to the person doing it. They may think everyone else is doing the same or that their usage is acceptable or controlled.
Rationalization and Minimization: Individuals with substance use disorders often rationalize their behavior ("I only use on weekends") or minimize the consequences ("I still have my job, so it's not a problem").
Avoidance of Responsibility: Acknowledging the addiction implies a responsibility to change. Denial helps avoid this responsibility.
Where can I get help for my addiction to drugs with very little money?
If you're seeking help for your addiction to drugs and have limited financial resources, there are several options available to you. These organizations and services can provide support, counseling, and treatment at little to no cost:
- National Helplines: Our own helpline (1-877-882-9275) or the SAMHSA National Helpline (1-800-662-HELP) provides free, confidential, 24/7 assistance in English and Spanish.
- Local Support Groups: Many communities have support groups, such as Narcotics Anonymous (NA) or SMART Recovery, that offer peer-to-peer support and resources for individuals struggling with addiction. These meetings are typically free and can be found in various locations.
- Non-profit and Faith-based Organizations: Some non-profit and faith-based organizations offer free or low-cost addiction treatment services, such as counseling, group therapy, and recovery programs. Contact local community centers, churches, mosques, or synagogues to inquire about available resources.
- Sliding Scale Treatment Centers: Some addiction treatment centers offer services on a sliding scale, meaning they adjust fees based on your income level. Contact local treatment centers and inquire about their financial assistance options.
- State-Funded Treatment Programs: Many states provide funding for addiction treatment programs that offer free or low-cost services to eligible residents. Contact your state's health department or substance abuse agency to learn more about available programs.
- Medicaid: If you are eligible for Medicaid, it may cover substance abuse treatment services, including detoxification, counseling, and medication-assisted therapy. Check with your state's Medicaid office for more information on covered services and eligibility requirements.