Commonly Asked Questions about Addiction and Treatment
Facts about fentanyl
Fentanyl is a powerful synthetic opioid analgesic that has garnered significant attention in recent years due to its role in the opioid crisis. Here are some essential facts about fentanyl:
Potency: Fentanyl is estimated to be 50 to 100 times more potent than morphine and 25 to 50 times more potent than heroin. Due to its high potency, it is prescribed in micrograms (mcg) rather than the milligrams (mg) typically used for other opioids.
Medical use: Fentanyl is primarily used in medical settings to manage severe pain, such as chronic pain or breakthrough pain in cancer patients. It is also used as an anesthetic during surgical procedures. Fentanyl is available in various forms, including transdermal patches, lozenges, tablets, and injections.
Illicit use: Fentanyl has become a significant concern in the illicit drug market due to its potency and relatively low production cost. Illegal fentanyl is often mixed with other drugs, such as heroin, cocaine, or counterfeit prescription pills, increasing the risk of overdose for unsuspecting users.
Overdose risk: Fentanyl's potency makes it particularly dangerous, as even a small amount can cause an overdose. Signs of fentanyl overdose include slow or shallow breathing, unresponsiveness, pinpoint pupils, cold and clammy skin, and loss of consciousness. Fentanyl overdoses can be fatal if not promptly treated.
Naloxone: Naloxone, also known as Narcan, is an opioid antagonist that can rapidly reverse the effects of a fentanyl overdose by displacing the drug from the opioid receptors in the brain. Due to fentanyl's potency, multiple doses of naloxone may be necessary to reverse an overdose effectively.
Fentanyl analogs: There are numerous fentanyl analogs or derivatives, such as carfentanil, acetylfentanyl, and furanylfentanyl. These analogs can have varying potencies, often significantly stronger than fentanyl itself, which can further increase the risk of overdose and fatalities.
Legal classification: Fentanyl is a Schedule II controlled substance in the United States, indicating that it has a high potential for abuse and dependence but also has accepted medical uses. Illicit fentanyl and its analogs are often classified as Schedule I substances, indicating that they have no accepted medical use and a high potential for abuse.
Addiction and dependence: Fentanyl, like other opioids, carries a risk of addiction and physical dependence. Chronic use can lead to tolerance, requiring higher doses to achieve the same effect, and withdrawal symptoms if usage is reduced or stopped abruptly.
What does drug addiction do to a person?
Drug addiction, also known as Substance Use Disorder (SUD), is a complex condition that affects an individual's brain and behavior, leading to an inability to control the use of drugs despite harmful consequences. Drug addiction can impact a person in various ways, including physical, psychological, social, and emotional aspects of their life. Some of the effects of drug addiction include:
- Physical health problems: Chronic drug use can lead to numerous health issues, ranging from mild to severe. These may include weakened immune system, cardiovascular problems, liver damage, lung diseases, kidney damage, and increased risk of infectious diseases, such as HIV and Hepatitis C.
- Mental health issues: Drug addiction often co-occurs with mental health disorders, such as depression, anxiety, and bipolar disorder. Substance use can exacerbate existing mental health conditions or lead to the development of new ones.
- Cognitive impairment: Prolonged drug use can impair cognitive functions, such as memory, attention, decision-making, and problem-solving skills. This can impact an individual's ability to function effectively in daily life and may result in poor academic or work performance.
- Emotional instability: Drug addiction can lead to emotional instability, mood swings, and increased irritability, which can strain personal relationships and affect overall well-being.
- Social isolation: Individuals with drug addiction may withdraw from social activities, hobbies, or relationships, leading to isolation and loneliness. They may also prioritize drug-seeking behaviors over other aspects of their life, further damaging social connections.
- Financial difficulties: The cost of obtaining drugs, combined with reduced work performance or job loss, can lead to financial strain and potentially result in homelessness or dependence on others for support.
- Legal problems: Drug addiction may increase the likelihood of engaging in illegal activities, such as theft or drug trafficking, to support drug use. This can lead to arrest, incarceration, or other legal consequences.
- Increased risk of overdose: Chronic drug use increases the risk of accidental overdose, which can result in severe health complications or death.
- Family and relationship issues: Drug addiction can strain family relationships and lead to instability within the household, as well as negatively impact the emotional and physical well-being of children in the family.
What areas of the body are most effected by long term drug abuse?
Long-term drug abuse can have significant impacts on various systems and organs within the body. The specific effects can vary depending on the type of drug used, but here are some general areas that can be affected:
Brain: Drug abuse can change the brain's structure and function, leading to alterations in behavior, judgment, memory, decision-making, and even mental health. Chronic use can lead to neurological disorders and cognitive decline.
Heart: Many drugs put a significant strain on the cardiovascular system, leading to a range of heart-related issues. These can include increased heart rate, high blood pressure, damaged heart muscle, irregular heartbeat, and an increased risk of heart attack and stroke.
Liver: The liver plays a key role in metabolizing substances, including drugs. Chronic drug use can lead to a variety of liver conditions, such as hepatitis, cirrhosis, and liver failure.
Lungs: Drugs that are smoked or inhaled can cause serious lung damage. This can lead to chronic bronchitis, emphysema, lung cancer, and other respiratory diseases. Opioids can also slow breathing, potentially leading to hypoxia, a condition where not enough oxygen reaches the brain.
Kidneys: Certain drugs can lead to kidney damage and disease, including kidney failure. This can be caused by increased body temperature, breakdown of muscle tissue that clogs the kidneys, and direct kidney toxicity from the drugs themselves.
Digestive System: Drug use can also affect the digestive system, leading to nausea, vomiting, abdominal pain, and changes in appetite and metabolism. Some drugs can also cause significant damage to the stomach and intestines.
Skin: Certain drugs can also affect the skin, leading to conditions like acne, skin infections, or skin picking resulting in sores. Intravenous drug use can lead to collapsed veins and infections of the blood vessels and heart valves.
Immune System: Some drugs can weaken the immune system, making users more susceptible to infections, diseases, and certain types of cancer.
It's important to note that the specific health effects of drug abuse can vary depending on the individual, the drug(s) used, the frequency and duration of use, and other factors. Seeking professional help and treatment is crucial for mitigating the negative health consequences of drug abuse.