addiction and dependance

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Regular Member

Date Joined Jan 2003
Total Posts : 246
   Posted 12/5/2008 11:22 AM (GMT -7)   
     First off let me say to anybody reading this post that I am not against anyone taking pain pills.  I never believed anybody should have to hurt.  The only reason I don't take them is Doctors just wouldn't think of giving you any in the 1950's so I learned to live without them.  But believe me, after nine surgeries, six major resections, numerous other blockages that were broken up with IV's of Pred.  I know what Pain is.  But it's likes a lot of other things in life, when you can get it you don't want it.
     Matthew - I found it a little humorous that I was not understanding addiction at all. and that what I and lots of Doctors were seeing was dependance.  Then I found out I was uninformed, and it was just your body adjusts to things like meds.  And then you decide to use "long time pred use will call for a phased withdrawal" as an example of dependance.  Long time Pred. use calls for a phased withdrawal has absolutely nothing to do with dependance.  Its main function is to get the Adrenal Glands back to producing Cortisol.  It really doesn't have much to do with how you ween, you can ween down by leaps and bounds until you get to the 10mg part.  That's when you play it safe and reduce by One mg a week for ten weeks, that gives your glands plenty of time to recover.  So I don't think Pred. would rate as a dependant except in a case where your adrenal glands failed to restart and then you would become steriod dependant.  In that case you would have to take pred. for life but you wouldn't have to increase the dosage as time went by, you would stay on the same dosage.  My wife had to continually increase her dosage of percs and oxys so I think that even in your thinking would take her out of the dependence class to the addicted class, wouldn't you.
      Addiction is the compulsive uncontrolled use of habit forming drugs beyond the period of medical need, my wifes medical need was continous because the spinal stenosis was gradually getting worse and worse, but unlike the steriod dependant who stays on the same dosage, she couldn't.
      I'm not saying addiction is a bad thing in her case, it was a must have situation,  they even gave her epidural shots to try to ease the pain and finally they decided the only chance she had to relieve the pain was surgery on her back that would freeze it in a  fixed position which would restrict her movements.  She agreed, and had the surgery, but her heart had weakened and within a week she was gone. 
 MMMNAVY - I apologize to you and others for not making my theory more understanding, I meant If you can control it, you didn't need it again until the next medical need.  Thanks for throwing it out of the water
 PS        sorry I'm a day late, I got up yesterday morning, had breakfast, took my pills, read the paper, then came down to the computer,  and then heard what the stock market was doing to my 401-K and IRA so i decided to watch them go down the drain, then it hit me, no pun intended, my dependance was addicted to losing.

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 12/5/2008 12:37 PM (GMT -7)   
Panayo I still respectfully disagree with you on your wife. She was dependent on the meds NOT addicted. An addict is someone who uses the medication to "Get High", not because they medically need it. Someone who is dependent is someone who has taken the medication for a period of time and their body becomes dependent on it and without the medications would go thru withdrawals. Big difference between the two. One uses the medication in a illegal manner and the other for a medical condition such as your wife or myself. I personally take Percoset on a daily basis, but I am neither an addict or dependent on it either. If I were not to take a dose or two oneday I would not go thru withdrawals. But I do need the pain medication because I am in pain just about everyday. And I have taken some type of pain medication daily for YEARS. Just for reference I have lived with Crohns for 33 years. JMHO
Been living with Crohn's Disease for 33 years.  Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium.  Resections in 2002 and 2005.  Also diagnosed with Fibromyalgia and Osteoarthritis. Currently my Crohns is in remission.

Regular Member

Date Joined Jun 2008
Total Posts : 24
   Posted 12/5/2008 2:56 PM (GMT -7)   
according to

addiction –noun
the state of being enslaved to a habit or practice or to something that is psychologically or physically habit-forming, as narcotics, to such an extent that its cessation causes severe trauma.

1. the state of relying on or needing someone or something for aid, support, or the like.
5. the state of being psychologically or physiologically dependent on a drug after a prolonged period of use.

Regular Member

Date Joined Feb 2008
Total Posts : 314
   Posted 12/5/2008 4:28 PM (GMT -7)   
1mg a week for 10 weeks is quite much slower then the average person. Your body does become dependant on prednisone, your body stops making its own steriods at a certain level completely, which is why we wean down, so your body can start making its own again. And people often do need more and more prednisone also for the same effect.

The level of how much someone goes up in dose, and how often has nothing to do with addiction. Its still dependence, everyone gets dependent at different rates, and different dosage needs.

Ive tried many medications for pain. And by the way the type of medication you need for pain has nothing to do with if your addicted or not either. I take 10-15mg percocet(which is actually oxycodone but with no tylenol) and 2-60mg oxycontin a day, and that I take 2-15mg percocet and 1-60mg oxycontin in the morning and at night, and throughout the day I take 2-15mg percocet at a time. That doesnt mean I'm addicted. When I go to the ER a normal person would get 1mg of dalaudid(which is 8 times stronger then morphine) and be completely loopy, when I get 1mg of dalaudid, it doesnt help. My local Hospital has come to know me and know that I usually need 4mg of dalaudid, which is probably enough to put most people in some type of coma or unconsiousness and I still need that IV every 45 minutes to an hour. When I'm admitted I get this through PCA, plus my normal doses of the Oxycontin and Percocet, and I usually get a 75mcg fentynal patch also. This is because Ive rapidly grown a tolerance for IV medication much more quickly then oral medication. I've shown what I take so that people will understand, everyone is different, especially when it comes to pain medication. Yes I need my medication daily, and I will withdraw if I stop taking them, but not because I'm addicted, because my body is used to such a high daily dose. I do not get a euphoria feeling whatsoever, as a matter of fact, I barely get relief anymore from this regiment, and I've only been using it for 5 months this month. Also I'm allergic to morphine based medication which is why I built a tolerance to dalaudid and morphine based drugs are counted out for me, which lowers the medications I can even take.

Veteran Member

Date Joined Jan 2007
Total Posts : 3200
   Posted 12/5/2008 5:32 PM (GMT -7)   
Addiction or dependence, it matters not to me. Quality of life is what's important. So at the age of 57 suffering with
crohns, chronic pancreatitis and lupus, if I'm addicted or dependent then so be it. At least I can put a smile on my face for
those people that matter, my family, and especially my grand kids. Only because my pain is being somewhat controlled.

At least I'm not the pain in the a*** I would be if I didn't have help, I can at least give out big old hugs because it doesn't
hurt quite so much...So in short, I guess I'm glad that I'm addicted or dependent, if that truly is what I've become....

Too many years with CD
Two bowel resections, several obstructions.
Fibromyalgia and recently diagnosed with chronic pancreatitis and lupus.
B12 Shots bi-weekly

Laughter is the brush that sweeps the cobwebs from our hearts...

Veteran Member

Date Joined Mar 2007
Total Posts : 4527
   Posted 12/5/2008 5:49 PM (GMT -7)   
Hi I think that pain med is a personal decision between patient and Dr.and family if the patient is unable to look after itself. Pain meds can have side effects too so it is much like other meds it takes serious consideration on the Dr's and patients part. No person just jumps on board without looking to see what they are diving into at least we should have info on this med and when I get a new perscription there is always a paper with info given with the perscription. lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,hemmies,and still gail

Elite Member

Date Joined Jan 2005
Total Posts : 24909
   Posted 12/5/2008 7:04 PM (GMT -7)   
I know I will not live in Pain
There is NO reason for me too
My doc and I agree on my TX and I abide appropriately to the medication regime..........

I am not an addict

I just want to be able to function daily........LYN
 DX: Crohns,Pyoderma Gangrenosum,Anxiety/Panic,
Fibro & Other DD

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Texan with Crohn's
Regular Member

Date Joined Dec 2007
Total Posts : 362
   Posted 12/6/2008 7:44 AM (GMT -7)   
Dead horse...

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