ADDICTION BY DOCTOR 'S PRESCRIPTION

ADDICTION BY DOCTOR 'S PRESCRIPTION

When a patient leaves a doctor’s office with a slip of paper intended to heal, they rarely expect it to lead to a struggle with addiction. Yet, "iatrogenic addiction"—dependence arising from medical treatment—remains a complex and silent crisis. While most patients use medications safely, the transition from "patient" to "person with a substance use disorder" often happens through a subtle physiological doorway rather than a desire to "get high."

1. The Gateway: Why Prescriptions Turn Addictive Prescription addiction typically involves three specific classes of drugs that interact with the brain’s chemistry: Opioids (e.g., OxyContin, Vicodin): Prescribed for chronic or post-surgical pain. They bind to receptors in the brain to block pain, but simultaneously trigger a release of dopamine, creating a cycle of "relief-seeking" behavior. **CNS Depressants (e.g., Xanax, Valium): Used for anxiety and sleep disorders. They slow down brain activity, but the body can quickly build a tolerance, requiring higher doses to achieve the same calming effect. Stimulants (e.g., Adderall, Ritalin): Prescribed for ADHD. These increase alertness and energy, but can lead to psychological dependence and heart-related complications if used outside strict guidelines.

 2. The "Innocent" Descent The path to addiction often follows a predictable, yet tragic, progression: Tolerance: The prescribed dose no longer manages the symptoms (pain or anxiety). Physical Dependence: The body becomes so used to the chemical that stopping causes "withdrawal" (shaking, sweating, or intense rebound pain). Compulsion: The patient begins taking the medication more frequently or "doctor shopping" to secure multiple prescriptions, often convinced they still "need it" for their original ailment. 3. The Warning Signs If you or a loved one are taking long-term prescriptions, be alert for these "red flags": Early Refills: Constantly running out of medication before the month is over. Personality Changes: Increased irritability, mood swings, or social withdrawal when not "on" the medication. Defensiveness: Becoming angry or secretive when someone asks about the medication.

Physical Indicators: Slurred speech, pinpoint pupils, or unusual "fogginess." 4. Bridging the Gap: Prevention and Safety Responsibility for preventing iatrogenic addiction lies with both the healthcare provider and the patient.

Dr Vijay Garg Retired Principal‌ Educational columnist Eminent Educationist street kour Chand MHR Malout Punjab