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 are substance abuse factors for lgbtq+ individuals?
Substance abuse among LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others) individuals is influenced by a range of factors. These factors often intersect and can compound the risk for developing substance use disorders. Some of the primary factors include:
- Minority Stress: Minority stress refers to the additional stressors experienced by marginalized groups, such as LGBTQ+ individuals. This includes experiences of discrimination, stigma, harassment, and violence due to their sexual orientation or gender identity. This chronic stress can contribute to increased substance use as a coping mechanism.
- Mental Health: LGBTQ+ individuals are at a higher risk for certain mental health disorders, including depression, anxiety, and post-traumatic stress disorder. These mental health conditions can increase the risk of substance use and substance use disorders.
- Social Isolation and Rejection: The process of coming out to family and friends can sometimes result in rejection or loss of social support. This isolation and rejection can increase feelings of loneliness and despair, which may contribute to substance use.
- Internalized Homophobia or Transphobia: Internalized homophobia or transphobia refers to negative feelings, beliefs, and biases about one's own sexual orientation or gender identity. This internalized stigma can lead to lower self-esteem and increased risk of substance abuse.
- Lack of Access to Culturally Competent Healthcare: Many healthcare providers lack training in LGBTQ+ health issues, including substance use disorders, leading to barriers in access to effective, culturally competent treatment.
- Social Environments and Norms: Certain LGBTQ+ social settings, such as bars or clubs, often center around alcohol or other substance use, which may normalize and facilitate substance abuse.
- Trauma: LGBTQ+ individuals experience higher rates of certain types of trauma, such as physical or sexual abuse, hate crimes, or bullying, which can increase the risk of substance use disorders.
What drugs turn off emotions and make you feel numb?
Several classes of drugs can have the effect of numbing emotions or creating a feeling of emotional detachment. It's important to note that these effects can vary widely between individuals and depend on many factors, including the dosage, the method of use, and the individual's personal physiology and psychology. Here are a few examples:
Depressants: This category of drugs, which includes alcohol, benzodiazepines (like Xanax or Valium), and opioids (like heroin or prescription painkillers), can reduce brain activity and dull emotions. Users often report feeling numb or detached from their emotions.
Dissociatives: Dissociative drugs like ketamine, PCP, and certain kinds of cough medicines containing dextromethorphan (DXM), can induce a state of detachment from reality and one's self, which can include a sense of emotional numbness.
Selective Serotonin Reuptake Inhibitors (SSRIs): While primarily used as antidepressants, some individuals report feeling emotionally numb or detached when taking SSRIs. This is generally considered a side effect, and if experienced, should be discussed with a healthcare provider.
Antipsychotics: These medications are primarily used to treat conditions like schizophrenia, but they can also induce a state of emotional numbness or flatness in some individuals.
While these substances can make a person feel emotionally numb, it's important to note that this is often a temporary and potentially harmful solution. Long-term use can lead to a range of negative health effects, including physical dependence, addiction, and a worsening of emotional or mental health symptoms. If you're feeling overwhelmed by your emotions, it's crucial to seek help from a mental health professional rather than turning to substances. They can provide support and discuss healthier ways to cope with these feelings.