The biggest issue with the current opioid crisis is that they were specifically marketed as non/less addictive than other painkillers on the market. That is why Purdue Pharma is in so much trouble right now – they knew the addictive nature of the opioids but marketed them falsely to enhance sales. Doctors overprescribed under the false assumption that they were safe to give to just about everyone. Patients took them under the advice of their doctor; I don’t know about you, but I don’t tend to question the pills my doctor asks me to take – I just take them.
When doctors began to realize that their patients were getting hooked, they stopped prescribing them but the damage was done. Addiction is a nasty beast, and once you are hooked on opiates the DTs are **not** fun. Patients began going to drug dealers to get their opiate fix because they were addicts now.
The problem is that prescription opiates are very expensive on the black market (they are fairly hard to get ahold of, given how closely the FDA tracks prescription rates and how careful pharmacies are becoming in filling opiate prescriptions). Patients struggled to afford those opiates from their dealers, and the dealers were all too happy to offer a cheaper alternative opiate – heroin.
Others have answered this question better, but a minor detail is how your body processes opioids. Some people have a faster metabolism for opiates so for them, the high is shorter and the crash is harder. I’m sure they still can get hooked when dealing with debilitating pain though! But this could explain your own meh experience with opioids. This is what I went through with a major medical situation.
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