Prescription Drug Use Disorder
(Prescription Drug Abuse; Prescription Drug Addiction; Prescription Drug Dependence
Prescription drug use disorder is when a person takes prescription medicines in a way that they are not meant to be taken. It causes them to seek and overuse them even when they cause harm to the person's health, job, schooling, or relationships.
Common ones that are misused are:
The cause is not known. Things like genetics, the environment, and peer pressure may play a role.
Addiction alters pathways in the brain.
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This problem often starts in the teen or young adult years. Things that may raise the risk of this problem are:
Problems may be:
- Taking the medicine in much higher amounts for a longer time
- Moving from 1 doctor to the next for more prescriptions
- Spending large amounts of time getting, using, or recovering from using the medicine
- Craving the medicine
- Problems trying to cut down or stop using it
- Withdrawal problems when trying to cut down or stop, such as nausea, vomiting, and sweating
- Work, school, home, or relationship problems
- Using the medicine despite the problems that it causes
The doctor will ask about your symptoms and health history. You will also be asked about your use of prescription medicines. Your refill history may be checked. An exam will be done.
Blood and urine tests may be done to check for drugs.
Treatment depends on the medicine that is being misused. The goals are to:
- Help a person stop using
- Slowly lower the amount of medicines in the person's body to ease withdrawal
- Prevent the person from abusing again
It can take a long time to get better. People may need to be treated many times. It may include 1 or more of the following:
Medicines may be given to ease withdrawal and lower the risk of using again. Common ones are:
Therapy can help a person learn about the choices that lead to the use disorder. This can help a person learn coping and problem-solving skills. A person can also learn how to replace problem behaviors with healthier choices. A person's family should be involved to offer support.
There are many organizations and support groups that can help. People meet often to talk about their misuse problems and their recovery.
To lower the risk of this problem:
- Take medicine as advised. Do not change the amount or schedule.
- Learn how a medicine interacts with other medicines and supplements.
- Do not use someone else's medicine.
- Learn about the risks of medicine abuse.
- Teach children about the dangers of abusing medicines.
- Use a safe method to dispose of unused medicines.
National Institute on Drug Abuse
Canadian Centre on Substance Abuse
Centre for Addiction and Mental Health
Addiction. National Coalition Against Prescription Drug Abuse website. Available at: http://ncapda.org/education/addiction. Accessed September 4, 2020.
Kampman K, Jarvis M. American Society of Addiction Medicine (ASAM) National Practice Guideline for the Use of Medications in the Treatment of Addiction Involving Opioid Use. J Addict Med. 2015 Sep-Oct;9(5):358-367.
Opioid abuse and dependence. EBSCO DynaMed website. Available at:https://www.dynamed.com/condition/opioid-abuse-and-dependence. Accessed September 4, 2020.
Last reviewed March 2020 by EBSCO Medical Review Board Adrian Preda, MD Last Updated: 2/19/2021