No. Only a small percent of people actually get addicted to narcotics, but most who are on it chronically are dependent. The difference is that addiction is characterized by the continued use of a substance despite adverse consequences. The goal of chronic pain medicine is not to take the pain away, but to increase the function of the individual, so you can do more.
Not necessarily. Physical dependence and addiction have different definitions. While long term use of opiods will likely cause physical dependence in most patients but not addiction which involves psychological dependence. Addicted person is willing to do illegal, unethical and antisocial activities to obtain opiods while physically dependent person will not.
Short answer: YES. The fact is that all patients who take narcotic or opiate pain medications are at risk for addiction. That said, studies suggest that only between 5-15% of patients who take their pain medication for legitimate pain will develop an addiction. Almost all of those will have had dependency issues in the past, even with other substances (this is what some refer to as an "addictive personality?").
Yes. Since you asked "at risk" then absolutely yes there is a risk for addiction. Although the true risk for continued opiate use is small, as others have mentioned there are risks for physical dependency and tolerance of the pain medications. I recommend aggressive other therapies such as anti-inflammatories, physical therapy, and nerve-modulating medications (like ssris, snris, etc) to help.
No. Although anyone who has taken chronic pain medication, especially opiates is at risk for addiction. I would say that physical dependency is a more immediate concern. Stopping these medications in someone who has taken them chronically will certainly cause withdrawal symptoms and this could be hazardous. Changing or decreasing pain medication should be done carefully and with doctor's supervison.
Yes. Long term use of opiates carries a risk of addiction. These drugs are not as effective for chronic pain as for acute pain. Sometimes, pain is actually increased as the brain gets used to these drugs. Other medications, like nerve stabilizers and some antidepressants, are often more effective than narcotics for chronic pain.
No. Chronic pain is a difficult problem that can be treated in a number of ways. Opiate pain medications (hydrocodone, morphine, Oxycontin etc) can be effective in providing pain relief. They can be associated with dependance and addiction. Other medications are available which can provide relief from pain but generally used to treat other conditions like seizures, depression.
Yes. Opioid medications can cause people's bodies to become dependent on them. People become addicted when they exhibit negative behaviors- such as overusing the drugs, having multiple prescribers, etc.
Yes. You asked: at risk? Answer is yes but depends. There are certain risks but can be very low. It depends on the patient, physician and the type of care. Severity of cases, continuity of care, level of response, psycho-social and environmental factors all are important. In case of good pain management, there is a very low risk.
No. However if a concomintant mental health history along with a family history of chemical depndency one must be aware you can screen with a dast questionaire or orf list to better ascertain . Caution with hyperalgesic phenomenon.
Can certainly be. As learned members here have indicated narcotics are addictive - in fact amongst the most addictive substances deaths from overdoses have taken over auto accidents as leading cause of death for many ages. Risk is lower if taken as prescribed and for shorter time periods. Nonetheless it can have a role , but other meds and behavioral strategies also help: http://cpancf.Com/chronic_pain.Asp.
Yes and No. The incidence of all kinds of addictive behavior is about 5 to 15%, heavily influenced by genetic factors. Providing a drug to anyone with that tendency increases their risk of becoming dependent upon that class of drug. In other words, if you haven't taken it you're not going to be addicted to it, so the risk is affected in that way.
Yes. Narcotic pain medications are addictive plain and simple. Reduction in their additive potential comes from use of long acting preparations. As well, short acting forms should be used only for severe pains that cannot be relieved by non narcotic medications.