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I think most people know heroin is dangerous. They start taking it because they don't have an incentive not to. A lot of people in places hit worst by the opioi

by ipnon 10y ago

I think most people know heroin is dangerous. They start taking it because they don't have an incentive not to. A lot of people in places hit worst by the opioid epidemic don't have much of a reason to get up in the morning, whether that be for lack of job opportunities, a weak social network, or some more general malaise. If there life is already disappointing, there's no reason to not take heroin. The worst that can happen is that there life becomes bad, but it already is.

zzalpha 10y ago
Many many people don't start with heroin, nor do they turn to drugs for the reasons you cite. They start with back pain due to a workplace injury, for which a doctor immediately prescribes them a powerful opiod (and perhaps a companion drug to deal with the resultant constipation). Because it's "medicine", these people don't fully understand the risk of addiction nor do they recognize the signs of addiction and tolerance as they develop. Meanwhile, the doctor shirks their duty by not remaining in constant contact with the patient to manage any dependency should it occur. These individuals eventually become addicted because the drugs lose efficacy over time (and in the case of Oxy, don't actually work for as long a period of time in the body as claimed, forcing people to up their own dosage). And thus the spiral of addiction begins. Because of the lack of public awareness and the shame and stigma of addiction, people don't seek out help. Instead they try to manage the problem themselves. Ultimately, once addicted they turn to street drugs because they're a) cheaper, and b) more readily available.
- cmdrfred 10y ago
  One thing to keep in mind is that opioid drugs are not effective in the long term treatment of chronic pain. I don't know why these drugs are prescribed for that purpose to be honest.
  - zzalpha 10y ago
    Agreed. Unless you're a cancer patient on palliative care, turning to opiods for long term pain management (particularly as a first line of defense, which so often seems to be the case) strikes me as completely insane. Part of the problem is that, prior to the Oxy epidemic, the reality is doctors were probably under-managing pain, particularly for chronic pain sufferers. Unfortunately, the reaction (again, in part due to drug company marketing) was to swing the other way and over-prescribe these drugs.
Alex3917 10y ago
> A lot of people in places hit worst by the opioid epidemic don't have much of a reason to get up in the morning There was a Reddit comment on this subject to the effect of "I don't think of a muffin as breakfast, I think of it as my reward for getting up and going to work instead of hanging myself." And that sentiment is probably coming from a software developer in NYC or SF or whatever, so imagine how things look for everyone else.

by ipnon 10y ago

zzalpha 10y ago

Many many people don't start with heroin, nor do they turn to drugs for the reasons you cite. They start with back pain due to a workplace injury, for which a doctor immediately prescribes them a powerful opiod (and perhaps a companion drug to deal with the resultant constipation). Because it's "medicine", these people don't fully understand the risk of addiction nor do they recognize the signs of addiction and tolerance as they develop. Meanwhile, the doctor shirks their duty by not remaining in constant contact with the patient to manage any dependency should it occur. These individuals eventually become addicted because the drugs lose efficacy over time (and in the case of Oxy, don't actually work for as long a period of time in the body as claimed, forcing people to up their own dosage). And thus the spiral of addiction begins. Because of the lack of public awareness and the shame and stigma of addiction, people don't seek out help. Instead they try to manage the problem themselves. Ultimately, once addicted they turn to street drugs because they're a) cheaper, and b) more readily available.

cmdrfred 10y ago
One thing to keep in mind is that opioid drugs are not effective in the long term treatment of chronic pain. I don't know why these drugs are prescribed for that purpose to be honest.
- zzalpha 10y ago
  Agreed. Unless you're a cancer patient on palliative care, turning to opiods for long term pain management (particularly as a first line of defense, which so often seems to be the case) strikes me as completely insane. Part of the problem is that, prior to the Oxy epidemic, the reality is doctors were probably under-managing pain, particularly for chronic pain sufferers. Unfortunately, the reaction (again, in part due to drug company marketing) was to swing the other way and over-prescribe these drugs.

Alex3917 10y ago

> A lot of people in places hit worst by the opioid epidemic don't have much of a reason to get up in the morning There was a Reddit comment on this subject to the effect of "I don't think of a muffin as breakfast, I think of it as my reward for getting up and going to work instead of hanging myself." And that sentiment is probably coming from a software developer in NYC or SF or whatever, so imagine how things look for everyone else.