Your question is one of: Is an opiate the same as an opioid?
An opiate refers to the class of drugs/compounds derived from the opium flower bud. Morphine, heroine, and codeine are considered “natural” opiates derived from the opium flower.
Opioids refers to the class of drugs/compounds that bind to and compete for opiate receptors in the central nervous system. Opioids include both natural (morphine, heroine) and synthetic drugs (fentanyl, OxyContin, hydrocodone).
How society perceives and labels a “drug” is interesting.
Alcohol is a drug. During the Prohabition of the 1920’s, alcohol was illegal and available only in speak-easies and through illicit contacts. Today, I walk into my local grocery store and am surrounded by aisles of wine and beer sold next to animal crackers and toothpaste. Alcohol related illnesses are staggering. Diseases of the liver (cirrhosis, ascities), mental impairments (diffuse white matter degeneration, cerebellum ataxia, stroke), type 2 diabetes, nutritional inadequacies, dental decay. And yet, the consumption of alcohol is legal.
cigarette? Perfectly legal to purchase cigarettes. The federal government provides financial and tax incentives to tobacco growers. The personal costs? Obstructive pulmonary disease, vascular insufficiency of the lower legs, lung cancer, oral cancers of the mouth and tongue.
In the 1940s and 1950s it was common for everyday people to carry a little tube called “Benzoin.” It looked like a tube of chapstick and was marketed to clear the sinus when placed in the nasal
opening and inhaled. It was sold over the counter and was a social favorite. What was it? Benzoin was actually amphetamine. It cleared the sinus but its primary appeal was the powerful secondary benefits that people enjoyed common to amphetamines. Energy, focused attention, an ability to tackle anything.
Passage of the controlled substances act of 1960 was due, in part, to the growing misuse of amphetamines in society at large.
Each generation, sadly, finds coping strategies that includes compounds that alter the central nervous system.
Aderral, a prescript
ion medication for ADHD, has only one organic molecular bond difference that differentiates it from methamphetamine.
College campus are awash with students who take Aderral with the intention of enhancing their academic performance and to meet ever increasing demands for perfection. Aderral allows for mental focus and clarity. Adults in high pressure jobs/professions may solicit prescript
ions less for diagnosed ADHD but to give them a competitive edge for success.
My personal view of marijuana is it has legitimate benefits that are have not yet been fully vetted or recognized. Marijuana has a valid place in a person’s quest for relief of symptoms (seizures, nausea, anxiety, sensory hypersensitivity). I live in Oregon where state law provides for medical and recreational use of marijuana, with defined covenants.
The truth is that the research and development of drugs/medications is largely determined by a profit driven model with huge corporations at the frontline deciding which projects to pursue. Availability of financial sourcing underlies decisions for research and development as does an assessment of the potential patient population to be served and marketing.
Marijuana, under a different pharmaceutical model of “Big Pharm” that currently exists, would likely have been more carefully studied and gained accepted modalities of use and social and legal acceptance.
And your physician is correct to make you aware of the unintended consequences of continued use of narcotics/opiates.
Narcotics are powerful drugs. Long-term contributes to centralization syndrome. That is, the central nervous system (brain and spinal cord) become overly sensitive to incoming signals from the body. The sense of pain becomes amplified (not lessened). Sustained use of narcotics also contributes to suppression of the adrenal glands and secondary adrenal insifficiency (which I write about
, frequently, as I have primary adrenal insufficiency/Addison’s). Opiate induced constipation is not a simple annoyance. The functional motility of the intestinal tract is slowed to a crawl, leading to large volumes of retained stool and toxic illness.
I am on narcotics (fentanyl patch and oral dilaudid). It is not something that I take lightly. I discuss the risk/benefits with my medical providers. I take the lowest dose that I can to keep me somewhat functional, upright, and walking. I do not consider increasing my dose a personal option, as I want to keep physiological dependency in check, and accept that pain will always accompany me.
I have a tool-box of skills that I rely on to moderate my pain experience (mindfulness, yoga, relaxation and guided imagery, stretching/exercise, moist heat, TNS unit, pacing and energy conservation, distraction). A multi-modal approach to pain serves me best.
Living with pain that persists and never ends does not have a simple, one-size-fits-all solution. But certainly our individual assumptions and biases of what what we consider morally “right” or “wrong” may be severely tested and
open to question and reinterpretation as we each seek relief.
Pituitary failure, wide-spread endocrine dysfunction
Mixed connective tissue disorder
Extensive intestinal perforation with sepsis, permanent ileostomy
Avascular necrosis of both hips and jaw
Receiving Palliative Care (care and comfort)
Post Edited ((Seashell)) : 2/9/2019 6:52:33 AM (GMT-7)