Opioid use disorder (OUD) is when a person keeps using opioids despite the cognitive, behavioral, and physical problems they cause.
Opioids are a class of drugs made from opium. Ones like oxycodone are legal when prescribed by a doctor. Others like heroin are illegal. They are often mixed with other substances, snorted, or used for the wrong reasons, such as to get high or to fall asleep.
The cause is not known. Things like genetics, the environment, and peer pressure may play a role.
|How it Affects the Brain|
|Opioids help release chemicals in the brain that cause joy. Over time, you need more drugs to cause the same release. This leads to misuse.|
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OUD can lead to:
- Being unable to stop or limit use
- Craving the opioid
- Making a habit of using the opioid even though it causes problems
- Moving from one doctor to another to get more
- Rapid increase in the amount of opioids needed
- Use that gets in the way of doing normal things
- Using a lot of effort to get more of the opioid
With regular use, the body begins to need the drug to get through the day. A person may get sick when they stop or take less of the opioid. It may result in nausea, vomiting, shaking, and sweating. This can make it harder to stop using.
The first step is to stop using opioids. This is also known as detox. The second step is to change behaviors to stop from using the drug again.
It can take some time to recover. Treatment may be given in a rehabilitation program. Many people may need to be treated several times. It may include 1 or more of the following:
Medicines may be given to ease withdrawal symptoms and lower the risk of using again. Common ones are:
- Buprenorphine/Naloxone—a combined drug
Therapy can help a person learn about the issues and lifestyle choices that lead to opioid use. This can help a person learn coping and problem-solving skills. A person can also learn how to replace opioid-use behaviors with healthier choices. Therapy sessions may be 1-on-1 or with a person's family.
Narcotics Anonymous is a 12-step program. It helps to support people who are recovering from OUD.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (OUD; Opioid Abuse; Opioid Addiction; Opioid Dependence)
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