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What are Opioids?
Opioids are a group of drugs that are used for treating pain. They are derived from opium which comes from the poppy plant.
Opioid (Narcotic) Pain Medications
When you have a mild headache or muscle ache, an over-the-counter pain reliever is usually enough to make you feel better. But if your pain is more severe, your doctor might recommend something stronger — a prescription opioid.
Opioids are a type of narcotic pain medication. They can have serious side effects if you don’t use them correctly. For people who have an opioid addiction, their problem often started with a prescription.
If you need to take opioids to control your pain, here are some ways to make sure you’re taking them as safely as possible.
How Opioids Work
Opioid drugs bind to opioid receptors in the brain, spinal cord, and other areas of the body. They tell your brain you’re not in pain.
They are used to treat moderate to severe pain that may not respond well to other pain medications.
Opioid drugs include:
- Codeine (only available in generic form)
- Fentanyl (Actiq, Duragesic, Fentora, Abstral, Onsolis)
- Hydrocodone (Hysingla, Zohydro ER)
- Hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
- Hydromorphone (Dilaudid, Exalgo)
- Meperidine (Demerol)
- Methadone (Dolophine, Methadose)
- Morphine (Kadian, MS Contin, Morphabond)
- Oxycodone (OxyContin, Oxaydo)
- Oxycodone and acetaminophen (Percocet, Roxicet)
- Oxycodone and naloxone
Your doctor can prescribe most of these drugs to take by mouth. Fentanyl is available in a patch. A patch allows the medication to be absorbed through the skin.
Working With Your Doctor
You’ll need a prescription from your doctor before you start taking opioids. The doctor can adjust the dose as needed to help control pain.
You may receive around-the-clock doses to manage pain throughout the day and night. And your doctor may prescribe opioids to be taken “as needed” in case you have “breakthrough” pain — a flare of pain that you get despite round-the-clock doses.
While you’re on opioid pain medications, check in with your doctor regularly. Your doctor will need to know:
- How your pain is responding to the drug
- Whether you’re having any side effects
- Whether you have any potential interactions or medical conditions that could make you more likely to have side effects, such as sleep apnea, alcohol use, or kidney problems
- Whether you’re taking the drug properly
Opioid vs Opiate vs Narcotic
The term opiates refers to natural or slightly modified components of opium such as codeine, morphine and heroin. The term opioids was originally used for synthetic opiates such as Oxycontin and Fentanyl. But now is used for the entire class of drugs. Narcotics is an older name originally referring to any mind-altering compound with sleep-inducing properties.
Opioid withdrawal can be extremely uncomfortable. The important thing to remember is that opioid withdrawal is not life threatening if you are withdrawing only from opioids and not a combination of drugs. (Drug and alcohol withdrawal is different for each drug. Alcohol withdrawal and benzodiazepine withdrawal are potentially dangerous)