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TPC - THE eGuide TO THE OPIATES & OPIOIDS
"SEPARATING THE FACTS FROM THE POPPYCOCK"
poppycock (n.) - untrue; false information; bullshit

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Introduction

Back in the day — old-school opium use. Some sources say that the first reference to opium was in the 3rd century B.C.E. in the writings of Theophrastus. Others claim it is found in Hesiod, an 8th century B.C.E. Greek poet who claims there was a city named Mekonê, which roughly translates to "Poppy-town," near Corinth. The word opium is derived from the Greek word opion, which translates to "poppy juice" or "juice of a plant."[1] Today, pharmaceutical companies use alkaloids from Papaver somniferum, the poppy plant, to derive opioids. Opioids, such as oxycodone, hydrocodone, and heroin, are semi-synthetic drugs derived from the poppy plant.

Medical and non-medical use. Opiates have many different applications in the medical world. They are used to treat diarrhea, moderate to severe pain, severe cough, and sometimes treatment-resistant depression. Non-medical use of prescription painkillers has been on the rise according to the 2004 National Survey on Drug Use and Health, which stated 4.4 million Americans were current users at the time of the survey. Many people use painkillers non-medically for the euphoria and sedation that opiates provide; even so, both legitimate and illegitimate use of narcotic painkillers can result in physical and mental addiction. Many people, old and young, claim defeating opiate addiction was the hardest thing they ever did.

It's not just the flu. Just the fear of withdrawal from opiates is enough to keep an addict from quitting. Once a person has become physically dependent on opiates, withdrawal is unavoidable. Withdrawal symptoms can include chills, vomiting, fever, insomnia, deep depression, yawning, restless arms and legs, and everyone's favorite, diarrhea. For short-acting opiates, acute withdrawal is over in about 72 hours. Longer-acting opioids, such as methadone and buprenorphine, can cause a withdrawal syndrome that lasts a few weeks. On top of acute withdrawal, some users will experience post-acute withdrawal syndrome, PAWS for short. This can mean extended depression, muscle aches, and insomnia.

Treatment. Luckily there are treatment options available for narcotics addicts. There are two maintenance therapies available: (1) methadone and (2) buprenorphine. For some, this will be a life-long ordeal; others taper their maintenance drug and stop taking narcotics altogether. It is very hard to quit opiates, therefore the relapse rate is very high. Other options include in-patient detoxification, and outpatient detoxification. Outpatient services have a higher incidence of patients who still take their drug of choice while enrolled. Attending Narcotics Anonymous or a psychologist specializing in addiction can help integrate the former user back into sober life.

One fact remains through all of this: a person won't quit until they really want to. Sadly, sometimes this only comes after that person has lost everything.

 

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