Opioids and chronic pain

Question 1

Types of issues/addiction

Answer 1

• Phys dependence
• Pharm tolerance
• Addiction/SUD
• Pseudoaddiction
• Misuse
• Abuse

Question 2

Phys dependence

Answer 2

physiological adaptation to the continuous presence of certain drugs in the body. Withholding opioids after physical dependence develops results in transient withdrawal symptoms.

Question 3

Pharm tolerance

Answer 3

The reduced effectiveness of a given dose of medication over time

Question 4

Addiction/SUD

Answer 4

Characterized by psychological dependence, compulsive drug use, and continued use despite harm

Question 5

Pseudoaddiction

Answer 5

Pattern of drug-seeking behavior due to under treatment of pain

Question 6

Misuse

Answer 6

Taking an rx for a purpose other than the prescribed reason; taking medication in a manner or at a dose not recommended by the clinician; taking a drug that is not prescribed

Question 7

Abuse

Answer 7

Knowingly taking drugs expecting a euphoric response

Question 8

challenges in diagnosing opioid use disorder/ addiction

Answer 8

• Tolerance and physical dependence develop in most people using opioids
• Patients with chronic pain frequently report/evidence:
• “I’m only taking what the doctor prescribes.”
• giving up roles, activities due to pain or being “too tired to go”
• wishing they could stop taking opioids or unsuccessful attempts to cut down or quit
• preoccupation with taking medications