List of Opioids & FAQs

List of Opioids & FAQs

Brightside is dedicated to not only treat people suffering from opiate addiction, but also to educate patient, family and friends. Our List of Opioids and Frequently Asked Questions section is dedicated to not only answer those key questions, but also to educate people about opiate drugs and addictions. Below you will find answers to your key questions and a section titled List of Opiates. Brightside combed the internet and talked with our doctors to develop this unique resource on opioids. This section will give you about each opiate as well as brand name prescription drugs that contain the opiate and slang terms for each opiate. We hope this section helps you better understand this addiction, the drugs, and Brightside. Should you have additional questions on medically-assisted addiction treatment, contact one of our Suboxone clinics. We have Suboxone doctors in North Aurora, Tinley Park, Northbrook, and Bloomingdale, Illinois.

DO YOU FIND YOURSELF ASKING?

Here are some of the questions we get asked about treatment and our clinic.

Treatment Questions

Yes. But, it depends on whether you are dependent on Opioids or Addicted to them. Dependency is when you are taking Opioids as directed but you get withdrawal symptoms when you stop, whereas Addiction is when you are taking more than directed and for reasons other than therapeutic or you are taking non prescribed drugs. Environment is also critical as it can be nurturing or toxic. Medical treatment will eliminate the withdrawal symptoms associated with opiate addiction. But, some people are coping with additional challenges beyond the withdrawal symptoms. This can range from challenging environments, psychological issues, lingering pain from an accident or injury, PTSD, relationship or work issues etc. BRIGHTSIDE will work with you to evaluate your challenges and create the best plan for your recovery. Therapists can help not only with addiction but with how to handle life challenges and how to create a viable path toward your goals. Whether dependent or addicted, most people can reap huge benefits from seeing a therapist.

By a Therapist? 
The frequency will be between you, your therapist, and your doctor. Typically, visits with a therapist can range from twice a week to twice a month.  If you need or want counseling and cannot meet with one of ours while you are in for the medical treatment or if you prefer to go to another counselor outside of BRIGHTSIDE, we will help you.
By the Doctor?
This will all depend on your treatment program. For Suboxone (buprenorphine) typically once a week for the first week and then if you are stable and comfortable, just once a month for maintenance. If you relapse or are outside of the program parameters you may need to be re-induced and we will see you weekly until you are stable again.
Yes of course but it depends upon several factors:
  • Are you dependent or addicted?
  • Which drug were you using?
  • What was the route of administration?
  • How long have you been using?
  • Do you have other issues that are making life difficult that need to be addressed?
Transition off of the medication can take from months to years. Some opiates, such as heroin, can have a lasting negative effect on the chemistry and structure of your brain. A medication taper must be done in a well planned way, in accordance with your desire, need and the recommendation of your doctor. As your brain heals the dosage can be reduced and finally stopped. Some people who may have been using large amounts of illicit drugs for a long time could need to stay on medication for life. Our goal at BRIGHTSIDE is to make sure that we build a program for you that will eliminate your need for addicting opiates and move you toward a drug free life.
In-Patient
This is where you can go and stay in a facility (15 to 30 days) in order to get you out of a toxic environment, get daily therapy and stabilize before continuing therapy at an out-patient MAT facility such as BRIGHTSIDE.
Out-patient
Medication only; Buprenorphine (Subutex, Suboxone, Sublocade, Bunavail, Zubsolve. or Naloxone/naltrexone products such as Vivitrol.
Therapy only; Cold turkey or designed taper and then a Therapist of your choice to help you manage.
Medication and Therapy; This approach is by far the most successful.
IOP (Intensive out-patient program)  This is a group program 3 to 5 hours a day, 3 to 4 days a week, 8 to 12 week program designed to educate, discuss and treat severe addiction while helping you to stay on track and progressing toward you goals.

Once you decide to treat your addiction, you can either get treatment at a remote treatment facility (Inpatient or Residential Treatment) or at a medical office (Outpatient Treatment). At this initial level, the difference is that outpatient programs allow patients to come into a medical/counseling treatment center and then leave the same day. Inpatient programs, sometimes referred to as residential treatment programs, allow patients to visit a hospital or remote location for an extended period of time.

Once you have decided on what your life needs in terms of outpatient or inpatient support, you have different options on how you receive treatment. The main question you will need to decide is if and how you want to receive medical treatment. All programs recommend some form of counseling. At an inpatient treatment center, each one will have their own unique way of using or not using medicine for treatment. For outpatient, there are two main ways that medicine is administered during treatment. One method is with daily visits for Methadone which is typically a daily treatment performed at a certified facility. The other is using a form of buprenorphine (Suboxone/Subutex), which is administered through prescription and is typically taken at home with weekly to monthly visits. Talk to your treatment center for more details on their treatments.

Yes. Patients looking to move from Methadone to buprenorphine treatment, such as Suboxone, can switch. At BRIGHTSIDE, we have a special program to keep you comfortable for this kind of conversion because of Methadone’s long lasting effects. Patients that switch from Methadone to Suboxone should expect a longer withdrawal time before starting Suboxone because Methadone takes longer to leave the system than other opiates.

Yes, but the type of buprenorphine may be changed. Buprenorphine has been clinically proven to be safe during pregnancy, but the other ingredient (Naloxone) has not. It does not mean that it will be harmful during pregnancy, but that there has not been any research that says it will be harmful or not. Typically, women whom are part of our program and become pregnant will be switched to a mono-therapy of only buprenorphine without Naloxone. You and your Brightside physician will decide what is best for you.

Some pain medication can be taken during treatment but it cannot be an opioid. Buprenorphine itself has very good pain control properties.You will need to consult a BRIGHTSIDE physician prior to taking any other medications while in treatment.

Induction is the process of getting you off of the offending drug and comfortably on to buprenorphine. The correct level of medication and your comfortable stabilization is the goal. Constant contact during this induction phase with your BRIGHTSIDE physician will help you avoid discomfort and find the dosage that is right for you.

Stabilization, or Acute Stabilization, is when you are at your proper dosage, feeling good and no longer using opioids. If you relapse, we will help you re-stabilize.

Once stabilized you move into the maintenance phase of treatment. The goal during this phase is to support you with the tools needed for your brain to heal and for you to bring your life situation to where you want it to be. This phase can last anywhere from months to years or even a life time based on the level of your addiction. If appropriate, we would start to taper your dosage over time and complete your treatment.

Suboxone is mainly used for addiction treatment due to its ability to eliminate withdrawal symptoms without providing the euphoria associated with other opiates. It does have some limited pain therapy attributes and has been known to be prescribed for this purpose as well.

If you have an emergency associated with your addiction and need immediate attention, we would always recommend going to an emergency room or calling 911. We do not provide emergency refills on medicine. If you run out or lose your prescription medicine, you will need to schedule an appointment to see a doctor. We may require a urinalysis prior to coming in to get an unscheduled prescription.

We are an out-of-network provider for all insurances.  Thus, when you visit our clinic, you will need to pay for the cost of the appointment with the doctor.  We can provide your a claim form to submit for potential reimbursement, if you insurance allows it.  Your insurance can be used for paying for your medication at the pharmacy and for any laboratory costs through our third-party provider.  Any co-pays or deductibles associated with medication or laboratory costs will be your responsibility.

If you are required to provide us a urinalysis during your visit, we will conduct it at our office. But, if we require you to get a urinalysis outside of a visit, we will work with local labs near you. All charges for urinalysis samples will be billed directly from the lab.

The total treatment could last a couple months or several years. It will depend on your addiction. In terms of each visit, the induction portion could be 1 – 4 hours, but most visits last only about 10 – 15 minutes.

Yes. Suboxone does not inhibit your ability to drive a car. In fact, we may allow you to drive home in the middle of the induction visit to complete the induction at your home.

Having an addiction is a life changing disease. Using opiates may have changed your life for the worse. So you many need to change your environment, your interactions with enabling friends and colleagues and change those activities that feed your addiction. This will all be discussed and identified during your medical visits and counseling, if needed.
The treatment however will not impact your daily life. In fact you will feel much better. Initially during induction, you may need to schedule a half or full day to start the treatment, but after that we will only have limited visits to get updates on your progress and provide counseling. The basis of our program is to treat your addiction, but not interrupt your normal daily life.
Our program at BRIGHTSIDE is broken up into 4 stages for the medical treatment.
INTAKE
During the intake phase, you will be given a comprehensive substance dependence assessment, as well as an evaluation of mental status, a physical exam, and potentially a urine sample for medication compliance testing. You will also be presented the pros and cons of the buprenorphine medication, such as Suboxone or Suboxone equivalent. We will discuss the treatment expectations as well as issues involved with maintenance versus medically supervised withdrawal.
INDUCTION
During induction, you will be switched from your current opioid (heroin, methadone or prescription painkillers) on to a buprenorphine medication. At the time of induction, you will be asked to provide a urine sample for medication compliance testing to confirm the presence of opioids and possibly other drugs. Your response to the initial dose will be monitored and you may receive additional medications, if necessary, to reduce withdrawal symptoms.
Since an individual’s reactions to buprenorphine vary, medications will be adjusted until you no longer experience withdrawal symptoms or cravings. Urine drug screening is typically required for all patients at every visit during this phase.
Intake and Induction may both occur at the first visit, depending on your needs and your doctor’s evaluation.
STABILIZATION
Once the appropriate dose of buprenorphine medication is established, you will stay at this dose until steady blood levels are achieved. You and your doctor will discuss your treatment options from this point forward.
MAINTENANCE
Treatment compliance and progress will be monitored. Participation in some form of behavioral counseling is strongly recommended to ensure best chance of treatment success. The Maintenance phase can last from weeks to years—the length of treatment will be determined by you and your doctor, and, possibly, your counselor. Your length of treatment may vary depending on your individual needs.

Immediately! We pride ourselves on being available for treatment when you need it. You can reach us by calling our in house intake specialist who can answer most questions and get you in ASAP. Once you schedule an appointment, a doctor or staff member will contact you to conduct an initial assessment and confirm your appointment.

Yes. Just like any disease, there are different ways to cure them. Opiate addiction not only can cause psychological addiction, but chemically rewires the brain to crave the euphoria associated with opiates. If not treated medically, opiate addicts will go through excruciating pain when trying to quit. Thus, a very high percentage of patients will relapse when trying to do therapy alone. With medical treatment combined and counseling, patients have an extremely higher rate of success because they are able to suppress the withdrawal symptoms and work with counselors to get their life style back on track.

Brightside is an opiate addiction treatment center and focuses on only treating this chronic disease. If you are dealing with other addictions, you may use the services of our addiction physicians and counselors or we can recommend some alternative treatment centers or specialists for addictions to the following drugs or medications:

  • Barbiturates
  • Cocaine
  • Methamphetamines
  • Marijuana
  • Alcohol
  • Benzodiazepine
  • Ambien
  • Ecstasy

List of Opioids

This section is to provide people, friends, and family coping with their dependence and addiction a quick resource in learning about opioids. For each drug stated below, you will learn:

  • General information about the drug and potentially its form and delivery method
  • For prescription drugs, a list of common medication that contain the drug
  • Slang terms for the drug to help friend and family better identify if someone is using.

An opiate is a natural and synthetic narcotic analgesic that depresses the central nervous system. Collectively, natural and synthetic opiates are called opioids. Opioids are derived from opium which comes from the poppy plant. Opioids provide pain relief as well as extreme euphoria, if abused. The most common prescribed opioids are:

  • Codeine
  • Morphine
  • Fentanyl
  • Oxycodone (OxyContin)
  • Propoxyphene (Darvon)
  • Hydrocodone (Vicodin)
  • Hydromorphone (Dilaudid)
  • Meperidine (Demerol)
  • Diphenoxylate (Lomotil)
  • Oxymorphone (Opana)
  • Buprenorphine (Suboxone)
  • Methadone

But, the most abused opioid is the illegal narcotic is heroin.

Heroin is a highly addictive drug that is processed from morphine. It comes in several forms and colors including powder, liquid, or solid. Heroin is typically snorted, smoked, or injected

Heroin has slang references such as:

  • Big H
  • Black Eagle
  • Brown Tape
  • Dragon
  • Horse
  • Mud
  • Sack
  • Snow
  • White Nurse
  • White Stuff
  • Black
  • Boy
  • Brown Rhine
  • Dope
  • Junk
  • Negra
  • Scat
  • Snowball
  • White Lady
  • Black Tar
  • Brown
  • Chiba
  • H
  • Mexican Brown
  • Number 3
  • Skag
  • Tar
  • White Horse
  • Black Pearl
  • Brown Crystal
  • China White
  • He
  • Mexican Mud
  • Number 4
  • Skunk
  • Thunder
  • White Girl
  • Black Stuff
  • Brown Sugar
  • Chiva
  • Hell Dust
  • Mexican Horse
  • Number 8
  • Smack
  • White
  • White Boy

Codeine is a short acting narcotic typically prescribed by physicians to treat mild to moderate pain. People who abuse codeine do so because it provides a feeling of calm and euphoria. Codeine is typically taken orally in pill form.

Brand name medicine with codeine as an active ingredient are*:
  • Fioricet with Codeine
  • Tylenol with Codeine
  • Maxiflu CDX
  • Soma Compound with Codeine
  • BroveX CB
  • BroveX PB C
  • Trihist-CS
  • Poly-Tussin
  • Z-Tuss AC
  • Endal CD
  • Codahistine-DH Elixir
  • Pro-Red AC
  • Cheratussin AC
  • Giltuss Ped-C
  • Editussin Expectorant
  • Deproist with Codeine
  • Promethazine VC with Codeine
  • Codimal PH
  • Nucofed
  • Pseudodine C
  • Floricet with Codeine
  • Vopac
  • Rolatuss
  • Empirin with Codeine
  • BroveX CBX
  • BroveX PB CX
  • Mar-cof BP
  • Nasotuss
  • Codar AR
  • T-Koff
  • Phenylhistine DH
  • Dexphen w/C
  • Guaiatussin AC
  • Maxiphen CDX
  • Endal Expectorant
  • Tussirex
  • Phenergan VC with Codeine
  • Pro-Red AC
  • EndaCof-DC
  • Allerfrin with Codeine
  • Phrenilin with Caffeine and Codeine
  • Phenflu CDX
  • Calcidrine
  • Ambenyl
  • EndaCof-AC
  • Dimetane DC
  • M-End WC
  • Poly-Tussin D
  • Notuss-AC
  • Demi-Cof
  • Phenylhistine DH Expectorant
  • Vanacof CD
  • Robitussin-AC
  • Maxiphen CD
  • Cheratussin DAC
  • Tussirex Sugar Fee
  • Promethazine VC w/Codeine
  • Dicomal-PH
  • Neo AC
  • Pro-Clear AC
  • Cotabflu
  • Phenflu CD
  • Ascomp with Codeine
  • Ambophen
  • M-End PE
  • Myphetane DC
  • Mesehist WC
  • Notuss-NXD
  • Zodryl-AC
  • Pediacof
  • Dihistine DH
  • Airacof
  • Lophen-C NR
  • Alphen Expectorant
  • Guaifen DAC
  • Ala-Hist AC
  • M-Phen
  • Nucodine
  • Polyhist NC
  • Colrex
  • Maxiflu CD
  • Fiortal with Codeine
  • Nalex AC
  • Polly-Tussin AC
  • Poly-Histine CS
  • Notuss-NX
  • Statuss Green
  • CapCof
  • Pedituss
  • M-End Max D
  • Endal CD
  • Tridal
  • Efasin Expectorant SF
  • Ambifed CD
  • Notuss-PE
  • Zotex-C
  • Codar D
  • Triacin C
Codeine has slang references of
  • AC/DC
  • Karo
  • Barr
  • Lean
  • Captain Cody
  • Nods
  • Coties
  • Pancakes and Syrup
  • Down
  • Schoolboy

Morphine is a short acting narcotic typically prescribed by physicians to treat mild to moderate pain. People who abuse codeine do so because it provides a feeling of calm and euphoria.

Brand name medicine with morphine as an active ingredient are:
  • AVINza
  • Kadian
  • MS Contin
Morphine has slang references of:
  • Aunti Em
  • Durarmorph
  • Hows
  • Monkey
  • Tango and Cash
  • Aunti
  • Emsel
  • M
  • Morf
  • Unkie
  • Dance Fever
  • First Line
  • M.S.
  • Murder 8
  • White Stuff
  • Dreamer
  • God’s Drug
  • Miss Emma
  • Roxanol
  • Drone
  • Goodfella
  • Mister Blue
  • TNT

Fentanyl is an opioid narcotic typically used as part of anesthesia that helps with pain management after surgery or other procedures. It is known for its lollipop form, but can also be injected, through a patch or injested by a film. People who abuse fentanyl do so because it provides a feeling of mellowness, lethargy, drowsiness, and euphoria.

Fentanyl is an active ingredient in the following medications:
  • Fentanyl Transdermal System
  • Duragesic
  • Subsys
  • Actiq
  • Innovar
Fentanylhas slang references of:
  • Apache
  • Goodfellas
  • Murder 8
  • China Girl
  • Great Bear
  • Perc-A-Pop
  • China Town
  • He-Man
  • Poison
  • Dance Fever
  • Jackpot
  • TNT
  • Friend
  • King Ivory
  • Tango & Cash

Oxycodone is a semi-synthetic opioid that is typically prescribed to treat moderate to severe acute and chronic pain. People who abuse oxycodone do so because it provides a stronger feeling of calm and euphoria then more mild opioids such as codeine.

Oxycodone is an active ingredient in the following medications:
  • OxyContin
  • Percocet 5/325
  • Endodan
  • Roxicodone
  • Percocet 10/325
  • Percodan-Demi
  • OxyIR
  • Endocet
  • Combunox
  • Oxyfast
  • Percodan
  • Targiniq ER
  • Percocet
  • Roxiprin
Oxycodonehas slang references of:
  • Hillbilly Heroin
  • Oxy
  • Kicker
  • Oxycottons
  • Killers
  • Oxy 80’s
  • OC
  • Perks
  • Ox

Propoxyphene is a synthetic opioid that is typically prescribed to treat mild to moderate pain. Propoxyphene is no longer available in the US (stopped being supplied in the US as of November 19, 2010) due to clinical data from the FDA that demonstrated that propoxyphene puts patients at risk of potential serious or even fatal heart rhythm abnormalities. People who abuse propoxyphene do so because it provides a stronger feeling of calm and euphoria.

Propoxyphene is an active ingredient in the following medications:
  • Darvon
  • Wygesic
  • Darvon Compound 32
  • Darvon-N
  • Darvocet A500
  • PP-Cap
  • Darvon Compound-65
  • Darvocet-N 100
  • PC-CAP
  • Darvocet-N 50
  • Propoxyphene Compound 65

Hydrocodone is a semi-synthetic opioid. It is commonly use for severe pain associated with disease or injury and as a cough suppressant for those with pneumonia or whooping cough. It effectively “blinds” the brain from pain instead of treating the pain directly.

Hyrdrocodone is an active ingredient in the following medications:
  • Zohydro ER
  • Lortab
  • Panasal 5/500
  • FluTuss HC
  • Excof
  • Histex HC
  • Novasus
  • Rindal-HD
  • Histussin HC Syrup
  • Notuss PD
  • Tussinate
  • S-T Forte
  • Tussend Expectorant
  • Hydromet
  • Ibudone
  • Tusdec-HC
  • Codituss DH
  • Hycomine Pediatric
  • Protuss-D
  • Pancof HC
  • Hysingla ER
  • Lorcet
  • Tusnel-HC
  • M-END
  • Donatussin MAX
  • Mintex HC
  • Vituz
  • Zutripro
  • Cytuss-HC NR
  • EndaCof-Plus
  • Narcof
  • Levall 5.0
  • Entuss-D JR
  • Tussigon
  • Rolatuss with Hydrocodone
  • Phenylephrine HD
  • PhendaCof Plus
  • Protuss
  • Procof D
  • Zymine HC
  • Hycomine Compound
  • Azdone
  • VasoTuss HC
  • Drocon-CS
  • Excof-SF
  • Z-Tuss 2
  • Coughtuss
  • Tussin-V
  • H-C Tussive-NR
  • Endal HD
  • Obredon
  • Tussafed-HCG
  • Decotuss-HD
  • Hydropane
  • Ru-Tuss with Hydrocodone
  • Nalex-DH
  • Hycomine
  • Marcof Expectorant
  • Rezira
  • Norco
  • Lortab ASA
  • BPM PE HC
  • Anaplex HD
  • Max HC
  • Tussionex Pennkinetic
  • Triant-HC
  • Notuss
  • Zotex HC
  • Hydro-DP
  • Vortex
  • Mintuss G
  • Vanex Expectorant
  • Vicoprofen
  • Vetuss HC Syrup
  • Tussplex
  • Codamine
  • Prolex DH
  • P-V-Tussin
  • Vicodin
  • Alor 5/500
  • Canges-HC NR
  • Bromplex HD
  • Tri-Vent HC
  • TussiCaps
  • Hydrocodone CP
  • Welltuss HC
  • Codimal DH
  • Rindal HPD
  • Monte-G HC
  • Atuss G
  • Hycodan
  • Reprexain
  • Lortuss HC
  • Hyrdophen DH
  • Codamine Pediatric
  • Entuss Expectorant
  • Histinex D
Hydrocodonehas slang references of:
  • Hydro
  • Norco
  • Vikes
  • Vikings

Hyrdromorphone is a semi-synthetic morphine derivative which is typically prescribed in a hospital setting for moderate to severe pain management. Typically, it gets prescribed for treating pain associated with major burns, myocardial infarctions, non-remitting cancers, or bone injuries. People who abuse hydromorphone do so because it provides an extreme feeling of pleasure and euphoria.

Hydromorphone is an active ingredient in the following medications:
  • Dilaudid
  • Exalgo
  • Dilaudid-HP
  • Hydromorph Contin
  • Dilaudid Cough Syrup
Hydromorphone has slang references of:
  • Hospital Heroin

Meperidine is a synthetic opioid which is typically prescribed for pain for specific conditions such as child birth, myocardial infarctions, and non-remitting cancer pain. People who abuse meperidine do so because it provides an extreme feeling of pleasure and euphoria.

Meperidine is an active ingredient in the following medications:
  • Demerol
  • Meperitab
  • Mepergan
  • Meprozine
  • Mepergan Fortis
Meperidine has slang references of:
  • Dust
  • Juice
  • Smack

Diphenoxylate is a synthetic opioid which is typically prescribed to treat diarrhea. People who abuse diphenoxylate do so because it provides a feeling of pleasure and euphoria.

Diphenoxylate is an active ingredient in the following medications
Meperidine has slang references of:
  • Lomotil
  • Lonox
  • Lomocot
  • Lomanate

Diphenoxylatehas no slang references

Oxymorphone is a synthetic opioid which is typically used for around-the-clock moderate to severe pain. People who abuse oxymorphone do so because it provides an extreme feeling of pleasure and euphoria.

Oxymorphone is an active ingredient in the following medications:
  • Opana
  • Opana ER
  • Numorphan
  • Numorphan HCl
Oxymorphone has slang references of:
  • Blue Heaven
  • Stop Signs
  • Blues
  • Pink Heaven
  • New Blues
  • Pink Lady
  • Biscuits
  • Octagons

Buprenorphine is a semi-synthetic opioid which is typically prescribed for addiction therapy. The most common form of buprenorphine is when it is combined with naloxone in medication such as Suboxone. Buprenorphine is classified as a partial opioid agonist, thus it has limited euphoria effects, a limiting opioid effect, and a relatively mild withdrawal profile. Typically, buprenorphine is ingested through a tablet or film form. If misused and injected, the combination with naloxone makes it very difficult to achieve a euphoria feeling. Thus, buprenorphine has a very low potential for misuse.

Buprenorphine is an active ingredient in the following medications:
  • Subutex
  • Bunavail
  • Butrans
  • Buprenex
  • Suboxone
  • Zubsolv
Buprenorphine has slang references of:
  • Bupe
  • Subs
  • Subbies
  • Orange Guys
  • Miracle

Methadone is a semi-synthetic opioid which is typically prescribed for addiction therapy, but can be used for pain management. Methadone is only available from certified pharmacies and typically administered in front of a licensed and certified physician.Methadone is a longer lasting opioid so it can take longer than normal to be at a withdrawal stage to start administering other treatment alternatives such as Suboxone.

Methadone is an active ingredient in the following medications:
  • Dolophine
  • Methadose
  • Methadone Diskets
  • Methadose Sugar-Free
Methadone has slang references of:
  • Amidone
  • Chocolate Chip Cookies
  • Fizzies
  • Done

Addiction Questions

Opiate addiction comes in several different forms. Typically it comes from someone abusing either prescription pain killers or heroin. At the initial stages of use, the body can produce similar chemicals to compensate for the lack of receiving the opioid externally, if stopped. Thus, people can take prescription opioids for pain management without becoming addicted. But, as the person increases their use to achieve the same euphoric effect, the body hits a point where it can no longer compensate for a lack of receiving this external input of opioids. At this point, the person is addicted to opioids and needs to seek help medically.

Opiate addicts use opiates to feel euphoria and/or control pain. But, as they continue to abuse opiates, their body becomes more and more tolerant to the effects. Thus, an addict will continue to take more and more of the opiate to achieve the same feeling of euphoria or pain control. Most people that overdose on opiates do so by taking too much of the opiate and overdose (typically, respiratory failure). If an overdose patient gets to the hospital in time, the effects of the overdose can be reversed with an injection of naltrexone. This blocks the neuroreceptors from getting the opiate and reversing the effects of the opiate overdose.

Some people can. Opioids are used on a regular basis for pain management either from an injury or surgery. These people are given a specific amount that allows them to control their pain and stop taking opioids. The reason is that the body can produce a similar chemical that can compensate for the opioid chemical up to a certain point. But, once someone starts abusing opioids and take more and more to reach or maintain the euphoric sensation, the body cannot produce enough compensating chemicals to match the same level as this external input. At that point, the body goes into withdrawal which can make the person have symptoms of anxiety, agitation, muscle aches, increased tearing, insomnia, runny nose, sweating, yawning, abdominal cramping, diarrhea, dilated pupils, goose bumps, nausea, and vomiting. While withdrawal is not life threatening, they can be very uncomfortable.

When the brain neuroreceptors stop receiving the same level of opioids, the body will start to feel withdrawal symptoms. The following are symptoms you should expect when going through opioid withdrawal:

  • Anxiety
  • Agitation
  • Muscle Aches
  • Increased Tearing
  • Insomnia
  • Runny Nose
  • Sweating
  • Yawning
  • Abdominal Cramping
  • Diarrhea
  • Dilated Pupils
  • Goose Bumps
  • Nausea
  • Vomiting

Both Methadone and Suboxone, a buprenorphine treatment, are designed to provide the body the required level of opioids to eliminate withdrawal symptoms. But, they have very different effects. For example, Methadone is a long lasting opioid with psychoactive properties and is addictive. It does not allow the brain to heal. The drug administered on a daily visit basis. Suboxone, or other forms of buprenorphine, is a short acting opioid with no psycho activity and is self-administered at home. Traditionally, Methadone is a lifelong opioid substitute treatment, while Suboxone can be tapered over time.

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