Hello Majolica~~ I can understand your concern about people who become addicted to pain medications, but as you say in your message your friends were not taking the medications for Cancer Pain. I can't speak about people who take these medications for anything except Cancer Pain, and for them, addiction is not a problem. I don't really understand why this is so, but both the oncologists and the palliative care nurses all say exactly the same thing, basically that if you have Cancer Pain you can take as much pain medication as you need and you will not become an addict. Certainly this is true in my situation and for several other cancer sufferers that I know. Another strange thing is that many of the nurses in the hospitals don't understand this either and can under medicate because of their own lack of understanding. I had to go into hospital to have my kidney's 'blasted' to shatter some kidney stones and during the night I woke in extreme pain. I rang for the nurse and requested the level of pain meds that my oncologist had written up for me. The nurse couldn't believe that what she was reading and hearing was correct and called both the pharmacist and the oncologist at 2:00am just to confirm the dose. She then gave it to me (after I waited more that 45 minutes! in extreme pain) but when she came in 4 hours later to wake me she was truly surprised that I was a) awake, b) coherent c) and no longer in pain. When I asked her why she was so surprised she responded that she had NEVER given a patient that much pain medication and she honestly thought that I might have been overdosed!!! I felt so sorry for her and later on spoke with my oncologist who happens to be the chief oncologist at our hospital. He said that this was a common problem with many nursing staff for they didn't understand the different way in which cancer patients responded to pain meds. Since then the local university nursing school has invited me to be a guest speaker to their 3rd year nursing students to tell them about Cancer patients. Its been a very positive response to a problem situation.
However, I will bear in mind what you have shared about people who are taking pain medications who do not have Cancer.
My previous response was meant to free CANCER patients from the guilt and fear that they often feel when they are offered pain medications which will give them a positive quality of pain free life. For many patients, those reservations learned as children with regard to high power pain medications, are so strong that they refuse to take the help that they are being offered and condem themselves to a life of pain. Words like Heroin and Morphine scare a lot of people, but the reality is that they have been used in all sorts of medications for the past century --everything from toothache creme to headache tablets -- all with familiar and trusted names so people didn't question taking them. Its only lately that we are starting to hear of baby boomers who used copious quantities of name brand aspirins during their teenage years who now have real problems with their livers! No one knew that this would happen, and everyone thought that they were safe. Personally I do not advocate taking medication for any reason unless there is no other option.
However, now that I have intense cancer pain and realistically speaking a possible life span of 5-10 years (if I am very lucky), I feel that my odds for contracting something horrible versus being abled to live a quality lifestyle mean that I'll take the drugs and be able to walk, go to the movies, facilitate my local cancer support group and participate in fun and games with my grandchildren rather than be confined to bed all day everyday in painful agony!
But I do believe that each and every person needs to assess their own situation and do what they feel is best for them, however they need to know that with cancer pain they will not become addicts by using high powered pain medications to give them a high quality life style. I hope that I have explained my position on pain meds in a way that is clear for those reading this. I'm happy to answer any questions that anyone might have on this topic. Best wishes, Cath